Sr. Clinical Director (Mental Health)

Location: Remote (U.S.-based), Preferably based in Louisiana

Travel : Occasional Travel (5-10% of time)

Type: Full-time

Salary: $120k- $160k with equity opportunities

About the Role

Cabana is seeking a Senior Clinical Director to lead the development, implementation, and oversight of our clinical offerings. This role holds end-to-end ownership of Cabana’s clinical services and clinical operations ecosystem, including therapy delivery, group programming, insurance-aligned care models, and operational excellence, with the support of dedicated operations and billing partners.

You will operate at the intersection of clinical excellence, product strategy, and operational execution—bringing both deep clinical judgment and a startup mindset.

This is a builder role for a clinically trained leader who is excited to shape something from the ground up.

Role Responsibilities

Clinical Strategy & Oversight

• Build and launch Cabana’s 1:1 therapy offering, including care models, clinician workflows, policies, and clinical standards
• Serve as the senior clinical authority for Cabana
• Provide oversight of all clinical programming, including: 1:1 therapy, live therapy-informed and coaching groups
• Design clinical care models, documentation standards, and workflows that meet payer and insurance requirements, including medical necessity, treatment planning, and outcomes tracking
• Define scope of practice, treatment frameworks, intake processes, escalation protocols, and documentation standards
• You will be expected to maintain a patient caseload at the start of this role, though it will be less than 20% of your time. Maintaining a small caseload initially ensures clinical grounding, model validation, and credibility with the care team.

Insurance, Payer, & Clinical Operations Oversight

• Serve as the clinical owner of insurance and payer-related requirements and documentation for Cabana’s therapy offerings
• Partner with Operations, Finance, and external billing partners to ensure clinical alignment with reimbursement models
• Define and oversee: Medical necessity criteria, diagnosis and treatment planning standards, session structure and clinical documentation required for reimbursement
• Support payer credentialing, audits, and utilization reviews from a clinical perspective
• Advise on which services, modalities, and populations are appropriate for insurance-covered vs. cash-pay offerings
• Hire, onboard, and manage therapists, clinical supervisors, and group moderators
• Create training programs and clinical guidelines for moderators and therapists
• Foster a culture of clinical excellence, teamwork, and continuous learning
• Act as a mentor and thought partner to clinicians operating in a digital-first environment
• Partner with Legal and Operations on compliance, audits, and risk mitigation
• Ensure adherence to ethical, legal, and regulatory requirements across states (licensure, HIPAA, duty to warn, etc.)
• Ensure clinical practices and documentation remain compliant with insurance, payer, and audit requirements, in addition to licensure and ethical standards

Cross-Functional Leadership

• Partner with Product and Engineering to translate clinical requirements into scalable, user-centered experiences integrated with the Cabana Live app
• Work alongside Business Development team to identify, develop and support patient acquisition channels

Qualifications

Required

• PsyD (or PhD in Clinical Psychology) from an accredited institution
• Active clinical licensure in at least one U.S. state (multi-state licensure a plus), including Louisiana. Ideal candidate is already licensed to practice in Louisiana currently or has the ability to obtain this license.
• 10+ years of clinical experience
• 3+ years of leadership and supervisory responsibilities
• Experience delivering therapy via telehealth
• Strong understanding of ethical, legal, and regulatory frameworks in mental health care
• Comfortable owning outcomes while delegating execution to specialists
• Experience scaling multi-state clinical teams.
• Experience with insurance-based care models
• Exposure to group therapy or hybrid care models (1:1 + groups)
• Familiarity with EHR systems and outcomes measurement tools

Strongly Preferred

• Experience building or scaling clinical programs, products, or services from scratch
• Background in digital health, mental health startups, or innovative care models
• Comfort operating in ambiguity and making decisions without perfect information
• Experience overseeing group-based therapy or facilitation models
• Systems thinker who can balance clinical nuance with operational scalability
• A leader who enjoys building teams and systems, not doing everything themselves

Who You Are

• A builder at heart—you’re energized by creating structure where none exists
• Pragmatic, thoughtful, and values-driven
• Comfortable holding both clinical responsibility and business context
• Passionate about expanding access to high-quality mental health care
• Believes mental health care must be redesigned to meet people where they are—not just inside traditional therapy models

About Cabana

Cabana is building solutions to improve access to mental health support. Cabana is building the future of emotional wellness and behavioral health through community, content, and care. As we expand into a 1:1 therapy vertical, we are looking for a senior clinical leader to design, build, and oversee our clinical ecosystem—from individual therapy to live group experiences—while partnering closely with product, operations, and growth.

Cabana is a recognized innovator in the mental health space, working with leading health systems, agencies, and health plans to cover support for over 1.8M individuals across the US with an industry-leading net promoter score of 83. The Veterans Administration awarded Cabana as a top 10 finalist out of nearly 1400 applicants to support Veterans suicide and Cabana has been recognized by Fast Company as a World Changing Idea for the life-changing work we’re doing.

If you believe that mental health support needs more than one front door to meet people where they are and you’re the type of person who holds a high bar for quality in all that you do, then we want you on our team.