Behavioral Health Program Manager, Nevada License

About the Role

The Program Manager leads a remote care team of Therapists and Care Extenders to implement programs, serve members, and deliver outcomes to health plan partners. They empower members to improve their health and wellness through personalized case management, targeting each member’s specific needs. This innovative role seeks creative solutions to support the team and program goals, driving operational, clinical, and financial outcomes. The position is 100% remote within the United States, with state and program assignments subject to change based on business needs.

Responsibilities

• Act as a player/coach, working alongside Therapists and Care Extenders to build skills and directly support members in challenging situations.
• Create service plans using member information, screenings, conversations, data, and community resources.
• Guide members in developing skills to manage problems, prevent relapse, and reduce risk.
• Encourage participation in social, recreational, and therapeutic activities to enhance interpersonal skills.
• Educate members about mental/physical health, abuse/violence prevention, medication, and community resources.
• Monitor, evaluate, and record member progress according to measurable goals.
• Build accountability communications for upcoming appointments.
• Interact with members, families, physicians, and providers to lower over-utilization of resources.
• Report critical incidents and quality-of-care issues.
• Develop communication strategies to engage members and support goal achievement.
• Assess and respond to member risk, performing crisis intervention as needed.
• Develop community resource guides for medical, behavioral, and social services.
• Identify behavioral health diagnoses and ensure comprehensive service plans.
• Lead CareMind teams to assess member needs, create care plans, and track progress.
• Coordinate caseloads and refer new members to appropriate team members.
• Ensure team schedules meet program needs.
• Participate in hiring, onboarding, training, and performance reviews for team members.
• Lead enrollment activities to build or maintain member cohorts.
• Ensure the team meets Key Performance Indicators (KPIs) and delivers outcomes.
• Perform documentation reviews for quality and training.
• Analyze team performance, identify gaps, and create improvement plans.
• Collect and synthesize data to support training, engagement, and partner relationships.
• Lead internal case review sessions and participate in external meetings with health plan partners.
• Maintain program-related data, reports, and statistical records.
• Partner with the billing team to review and verify claims.

Qualifications

• Master’s degree in behavioral health, social work, or health care management from an accredited university.
• Independent clinical behavioral health license in Nevada (e.g., LCSW, CPC, LMFT, Licensed Psychologist).
• Experience leading, building, and implementing programs and delivering outcomes.
• Preferred: Experience with health coaching, medical social work, suicide prevention, crisis intervention, and managing interdisciplinary care teams.

Skills

• Management and Compliance: Ensure care delivery aligns with laws, regulations, and policies; maintain organizational integrity.
• Relationship Management: Develop and strengthen partnerships with internal and external stakeholders.
• Problem Solving: Identify needs, implement change, and prioritize tasks effectively.
• Communication: Excellent listening, verbal, and written communication skills.
• Collaboration: Work cooperatively to set goals, resolve problems, and enhance organizational effectiveness.
• Member and Crisis Management: Provide case management in routine and crisis situations.