Behavioral Health Care Management Manager

🕒 Maio 5

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $114.330 - $164.640 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Included Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

☁️ SaaS

🤝 B2B

👥 RH Tech

SaaS • B2B • HR Tech

A Included Health é uma empresa de tecnologia em saúde que oferece cuidados de saúde primários, urgentes e comportamentais personalizados, focados em empregadores e planos de saúde, através de um único aplicativo e uma rede de serviços virtuais e presenciais. Combina ferramentas impulsionadas por IA e equipes de cuidado humano para fornecer coordenação de cuidados 24/7, defesa de cobranças e reivindicações, segundas opiniões de especialistas líderes e suporte à saúde mental, com o objetivo de reduzir os custos de saúde dos empregadores e melhorar a experiência e a inclusão dos membros.

Descrição

• Provide clinical leadership and oversight for behavioral health care management programs across adult and pediatric populations. • Ensure behavioral health interventions are evidence-based, measurement-driven (e.g., PHQ-9, GAD-7, PROMIS), and aligned with value-based care goals. • Serve as a subject matter expert for complex behavioral health cases, including severe mental illness, inpatient and post-acute behavioral health transitions, crisis intervention, and high-utilization members. • Partner with senior leadership to build & operationalize the CCM behavioral health strategy, specialty care pathways, and program enhancements. • Directly manage and develop a team of behavioral health clinicians, providing coaching, mentorship, and performance management. • Foster psychological safety, clinical excellence, and accountability within a virtual care environment. • Lead onboarding, training, and ongoing clinical education to ensure consistency, quality, and confidence across the team. • Identify skill gaps and partner with leadership to design targeted training and upskilling initiatives. • Oversee day-to-day behavioral health operations, including workload distribution, caseload equity, staffing alignment, and workflow optimization. • Ensure timely access to care, appropriate triage, and escalation for high-risk behavioral health cases. • Collaborate cross-functionally with Utilization Management, Navigation, Product, Clinical Affairs, and Quality teams to ensure integrated, closed-loop care delivery. • Ensure adherence to clinical standards, regulatory requirements, and professional practice guidelines for behavioral health care. • Monitor quality metrics, audit results, and client performance indicators; lead corrective actions and continuous improvement initiatives. • Partner with Quality and Compliance teams to mitigate clinical risk and support audit readiness. • Track and analyze behavioral health performance metrics, including engagement, outcomes, utilization impact, and quality scores. • Use data to inform staffing decisions, workflow refinements, and care model enhancements. • Prepare and present performance insights to senior leadership and client stakeholders as needed.

🎯 Requisitos

• Nurse Practitioner (NP) or Master of Science in Nursing (MSN) from an accredited nursing program. • Active, unrestricted RN license in at least one U.S. state (multi-state licensure preferred). • Minimum 5 years of clinical experience in behavioral health, including experience with complex, high-acuity populations. • Minimum 3 years of people-management experience leading clinical teams in healthcare settings. • Demonstrated expertise in behavioral health assessment, treatment planning, crisis management, and care coordination. • Experience working within virtual, telehealth, or population health models strongly preferred. • Strong data literacy with the ability to interpret performance metrics and translate insights into action. • Excellent communication, leadership presence, and relationship-building skills. • Ability to lead through change, balance competing priorities, and operate effectively in a fast-paced environment. • Experience in value-based care, population health, or complex care management programs preferred. • Prior leadership experience overseeing interdisciplinary or specialty behavioral health teams preferred. • Familiarity with NCQA, ACMA, or other relevant accreditation standards preferred. • Experience partnering with Utilization Management, payer organizations, or external behavioral health providers preferred.

🏖️ Benefícios

• Remote-first culture • 401(k) savings plan through Fidelity • Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance) • Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents • Generous Paid Time Off ("PTO") and Discretionary Time Off (“DTO”) • 12 weeks of 100% Paid Parental leave • Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance • Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment) • 11 Holidays Paid with one Floating Paid Holiday • Work-From-Home reimbursement to support team collaboration and effective home office work • 24 hours of Paid Volunteer Time Off (“VTO”) Per Year to Volunteer with Charitable Organizations