Behavioral Health Manager- Nurse Practitioner

Job Overview The Behavioral Health Manager, Nurse Practitioner‑Integrated Care Delivery (NP‑ICD) is a senior clinical leader responsible for delivering and scaling high‑quality, integrated behavioral health services for complex Medicare members. The role blends direct clinical care with multidisciplinary leadership and program development to ensure safe, evidence‑based, and coordinated care across the Embrace model. Operating in a hybrid capacity, the role balances approximately 70% direct member care with 30% strategic leadership and program oversight. Core Clinical Responsibilities Provide short‑term, evidence‑based behavioral health treatment to members, including assessment, diagnosis, treatment planning, individual and group interventions, and discharge/aftercare planning. Manage members with mild to severe mental illness, applying risk stratification and care intensity appropriate to clinical need. Develop and oversee individualized, whole‑person care plans aligned with evidence‑based guidelines, clinical best practices, and community standards. Provide behavioral health education and coaching to members, caregivers, and care teams, including psychosocial interventions and pharmacologic considerations. Maintain a limited direct clinical panel while balancing programmatic and leadership responsibilities to ensure ongoing clinical relevance and member impact. Integrated Care & Care Coordination Partner closely with primary care providers, psychiatry, case management, caregivers, and community resources to support member safety, stability, and independence in the community. Lead multidisciplinary case conferences and psychiatric rounds, ensuring alignment on treatment plans, escalation pathways, and follow‑up. Support safe and effective behavioral health medication management in collaboration with PCPs, psychiatric consultants, and pharmacy resources, including monitoring, optimization, and timely follow‑up. Program Development & Clinical Governance Design, operationalize, and continuously improve behavioral health pathways, triage standards, and escalation processes for complex cases. Establish consistent clinical standards, throughput expectations, and outcome measures across the behavioral health program. Identify and implement process improvements to enhance access, quality, efficiency, and member experience within the integrated care model. Develop, monitor, and refine success metrics, using data to drive improvement and scalability. Leadership & People Management Provide clinical and operational oversight for an integrated behavioral health team, which may include LCSWs, Community Health Workers, and Behavioral Health Pharmacist. Recruit, onboard, train, mentor, and develop behavioral health staff to support workforce stability and clinical excellence. Manage staff performance, supervision, scheduling, and access standards; proactively scale internal capacity to reduce reliance on fragmented external vendor models. Ensure delivery of care aligns with ethical standards, regulatory requirements, and organizational quality expectations. Organizational Collaboration & Strategy Collaborate with senior leadership to resolve operational and performance challenges and design new programs and care models. Partner across departments to integrate behavioral health seamlessly with primary care, case management, and pod‑based workflows. Build strong relationships with internal and external stakeholders to support membership growth, quality outcomes, and long‑term program sustainability. Compliance & Professional Standards Ensure strict adherence to HIPAA, regulatory, compliance, and documentation standards, completing all clinical and operational documentation accurately and timely. Support professional growth through continued education, engagement in professional organizations, and maintenance of clinical best practices. Organizational Contribution Actively support and advance SCAN’s vision, mission, and strategic goals. Contribute to team and organizational success by identifying opportunities to achieve shared goals and targets. Supervise or manage others (e.g., hiring, performance reviews, corrective action). Perform other duties as assigned. Your Qualifications Graduate or advanced degree required from an accredited school of nursing. California RN, NP, and furnishing licensure required. Certification in area of specialty required. 5+ years of recent NP experience required. 3+ years supervisory experience preferred. Demonstrated experience working with both Medicaid and Medicare preferred. Strong leadership and strategic thinking skills; ability to inspire teams and deliver new clinical products and services to seniors and the community. Excellent written and oral communication skills, commitment to detail, and strong interpersonal skills. What’s in it for you? Base salary range: $125,400.00 to $215,975.00 annually. Work mode: Hybrid (Southern CA: Los Angeles, Orange County, San Bernardino). Robust wellness program. Generous paid‑time‑off (PTO). Eleven paid holidays per year, plus one floating holiday and one birthday holiday. Excellent 401(k) retirement savings plan with employer match and contribution. Robust employee recognition program. Tuition reimbursement. Equal Employment Opportunity Statement SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender perception or identity, marital status, disability, protected veteran status, or any other status protected by law. A background check is required. #J-18808-Ljbffr SHPCA SCAN Health Plan