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. \n 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: Required
Qualifications 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. Preferred
Qualifications Experience in value-based care, population health, or complex care management programs. Prior leadership experience overseeing interdisciplinary or specialty behavioral health teams. Familiarity with NCQA, ACMA, or other relevant accreditation standards. Experience partnering with Utilization Management, payer organizations, or external behavioral health providers. Physical/Cognitive
Requirements: Physical & Cognitive
Requirements Ability to work in a primarily sedentary, computer-based environment. Manual dexterity to operate standard office and virtual care equipment. Occasional lifting up to 20 lbs (e.g., laptop or office equipment). Occasional overnight business travel may be required. Ability to engage professionally with leadership, peers, and members in a virtual setting. \n $114,330 - $164,640 a year The United States new hire base salary target range for this full-time position is 114440-164640 +
bonus + equity +
benefits This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable
compensation practices across our distinct geographic zones. Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data.
Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive
compensation based on their roles and locations. Your Recruiter can share details of your geographic alignment upon inquiry. In addition to earning a base salary, this role is eligible for a performance-based
bonus. Details of the Annual
Bonus Plan, including performance metrics, target incentives, and potential earnings, will be discussed during the interview process. In addition to receiving a competitive base salary, the
compensation package may include, depending on
the role, the following: 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 \n 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 . ----- 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.
