Director, Care Management ServicesOregon | Remote
About the RoleComagine Health is seeking an experienced Director, Care Management Services to provide clinical and operational leadership for care management programs serving individuals in Oregon.
This role is responsible for overseeing clinical and non-clinical teams, supporting high-quality case management and utilization management services, and ensuring programs operate effectively while meeting organizational and client expectations.
The ideal candidate brings significant leadership experience in healthcare, a strong clinical background in behavioral health, and an understanding of Oregon Medicaid and the state's behavioral health services environment.
This is an opportunity for an experienced healthcare leader to help guide care management services, support multidisciplinary teams, and contribute to improved healthcare outcomes for individuals and communities.
What You'll DoClinical & Operational Leadership- Provide leadership and oversight for clinical and non-clinical teams delivering care management services.
- Support the delivery of high-quality case management and utilization management programs.
- Provide clinical expertise and guidance to teams addressing complex healthcare and behavioral health needs.
- Promote effective collaboration, accountability, and consistent service delivery across teams.
- Support operational processes that align with organizational priorities and client expectations.
Care Management & Behavioral Health Services- Provide leadership and subject matter expertise in case management and utilization management.
- Support programs serving individuals with behavioral health and other complex healthcare needs.
- Promote person-centered approaches to care management and service coordination.
- Collaborate with clinical professionals and operational leaders to identify opportunities for improved service delivery.
- Support effective coordination of services across healthcare providers, programs, and community resources.
Team Leadership & Development- Lead and support multidisciplinary teams of clinical and non-clinical professionals.
- Provide guidance, coaching, and professional development to team members.
- Promote a collaborative, inclusive, and results-oriented team environment.
- Support staff performance, operational effectiveness, and continuous improvement.
- Serve as a clinical and operational resource for managers and team members.
Program Quality & Performance- Support the development and implementation of processes that promote quality, consistency, and effective care management services.
- Monitor program performance and identify opportunities for operational improvement.
- Collaborate with internal stakeholders to address service delivery challenges and improve outcomes.
- Help ensure care management practices align with applicable program requirements and organizational standards.
Required Qualifications- Master's degree or higher in a clinical discipline from an accredited institution.
- Current, active, unrestricted professional licensure issued by an Oregon licensing board in one of the following disciplines:
- Licensed Clinical Social Worker (LCSW)
- Licensed Professional Counselor (LPC)
- Licensed Marriage and Family Therapist (LMFT)
- Licensed Psychologist
- At least 7 years of management experience in healthcare, including oversight of both clinical and non-clinical teams.
- At least 5 years of care management experience, including case management and/or utilization management.
- Demonstrated clinical leadership experience and the ability to guide multidisciplinary healthcare teams.
- Strong communication, relationship-building, and problem-solving skills.
- Ability to manage competing priorities and support effective clinical and operational decision-making.
Alternative Clinical Qualification PathwayCandidates with a Registered Nurse (RN) license and Certified Case Manager (CCM) credential may also be considered when they possess significant behavioral health experience and meet the position's leadership and care management experience requirements.
Preferred Qualifications- Doctoral degree in a related clinical discipline, such as Psychology, Social Work, or another relevant field.
- Familiarity with Oregon Medicaid programs and requirements.
- Knowledge of Oregon's behavioral health services environment.
- Experience leading care management programs serving individuals with complex behavioral health needs.
Work EnvironmentThis position is remote within Oregon and supports care management services in Oregon.
The role requires the ability to work independently in a home-based environment while maintaining effective collaboration with clinical teams, operational leaders, and external stakeholders.
Occasional travel may be required for meetings, program activities, training, or other business-related events.
