Behavioral Health Care Management Manager Full Time NEW

The Manager, Behavioral Health Care & Case Management provides clinical and operational leadership for the behavioral health care management program within Included Health’s Care & Case Management (CCM) program. This role requires an advanced-practice or graduate-prepared nurse (NP or MSN) with deep expertise in behavioral health and proven leadership experience managing clinicians in complex, virtual care environments. The Behavioral Health Manager is accountable for the quality, performance, and outcomes of a behavioral health–focused interdisciplinary team, including Behavioral Health Nurse Care
Managers, Licensed Clinical Social Workers (LCSWs), and Psychologists. This leader ensures delivery of evidence-based, measurement-driven behavioral health care, aligned with value-based care objectives, client expectations, and regulatory standards.

This role reports directly to the Clinical Director, Care & Case Management and Utilization Management and plays a critical role in building & advancing Included Health’s behavioral health strategy, specialty care pathways, and integrated medical-behavioral health model.

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Job Description:

Clinical & Strategic Leadership

• 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.

People Management & Team Development

• 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.

Operational Management

• 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.

Quality, Compliance & Risk Management

• 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.

Data, Reporting & Performance Optimization

• 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.

Requirements:

Physical/Cognitive Requirements:

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About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.