Behavioral Health Care Management Manager

🕒 vor 1 Monat

🇺🇸 Vereinigte Staaten – Remote

💵 $114.330 - $164.640 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Included Health

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

☁️ SaaS

🤝 B2B

👥 HR Tech

SaaS • B2B • HR Tech

Included Health ist ein Unternehmen für Gesundheitstechnologie, das personalisierte, auf Arbeitgeber und Krankenversicherungen fokussierte Primär-, Akut- und Verhaltensgesundheitsversorgung über eine einzige App und ein Netzwerk von virtuellen und persönlichen Dienstleistungen anbietet. Es kombiniert KI-gesteuerte Tools und menschliche Pflegeteams, um eine 24/7 Versorgungskoordination, Unterstützung bei Abrechnungen und Ansprüchen, Zweitmeinungen von führenden Spezialisten und Unterstützung für die mentale Gesundheit bereitzustellen, mit dem Ziel, die Gesundheitskosten der Arbeitgeber zu senken und die Mitgliedererfahrung sowie Inklusion zu verbessern.

Beschreibung

• 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.

🎯 Anforderungen

• 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.

🏖️ Vorteile

• 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