Head of Family Guides

About Flourish

1 in 25 adolescents and young adults will be diagnosed with serious mental illness. The majority of these families struggle to get care. Flourish (** is here to ensure that everybody gets the same access we have.

About the Role

We are looking for an experienced patient care leader with deep expertise supervising leaders in high-growth behavioral health environments. You are familiar with our patient population: adolescents and transitional aged youth who have recently been discharged after a psychiatric hospitalization or are in foster care.

As Head of Family Guides, your primary responsibility will be recruiting, onboarding, supporting, and managing a high-performing team of Directors of Family Guides. You will ensure consistent, high-quality patient engagement and strong fidelity to the Flourish integrated care model as the organization scales rapidly.

You are an exceptional people manager who knows how to recruit strong leaders, onboard them effectively, support teams through change, and create accountability while maintaining a sustainable, supportive culture. You have senior leadership experience in high-acuity case management environments, with deep expertise in externalizing behaviors and family systems work.

Role Responsibilities:

• Productivity:

  • Oversee family guide vertical for up to 10 bundles of carepods, which is up to 4,500 high acuity patients

  • Each bundle has up to 15 carepods, and the key metric is for mature carepods to have a patient panel size of 25-32+ engaged patients

• People Management:

  • Recruit, onboard, and manage Directors of Family Guides, each of whom oversee family guides on a bundle of up to 15 carepods. This means that each of your direct reports has up to 15 direct reports themselves.

  • Build systems to support consistency, accountability, and strong clinical leadership across family guide teams

  • Coach Directors of Family Guides on clinical supervision, people management, productivity, and change management

  • Support leadership coverage planning during PTO, leaves, and turnover. Support leadership coverage planning during PTO, leaves and turnover, including taking on interim direct reports or carepod leadership tasks as needed.

• Clinical & Operational Excellence

  • Ensure consistent, high-quality family guiding care across all carepods

  • Maintain strong fidelity to the Flourish integrated care model at scale

  • Support Directors of Family Guides in managing clinical escalations and complex patient care situations

  • Identify operational or clinical gaps and implement scalable improvements

• Cross-Functional Collaboration

  • Partner closely with leadership across psychiatry, therapy, patient guides, operations, recruiting, and people operations

  • Help ensure integrated carepods function effectively and consistently across bundles

  • Support organizational scaling initiatives and workforce planning

• Change Management:

  • Startups have changes all the time, sometimes weekly, and this role is for a team leader who will be responsible for the change manage of their team

  • Build trust and motivation with team, owning the responsibility for strong culture and employee engagement through changes

• Patient Care

  • A core leadership tenet at Flourish is leading by example. Therefore all clinical leaders provide direct patient care for 2-5 hours per week.

Role Requirements:

• 10+ years of relevant patient or family coaching related experience

• 10+ years of people management for full time direct reports

• 2+ years experience leading multi-state behavioral health teams

• 2+ years experience managing through layers of leadership

• 8+ years of startup experience

• Able to work one evening per week

• Must be 18 years or older

Job Type: Full-Time

Work location: Remote, with in-person attendance required 2+ times per year

Salary: $150,000-$170,000

Benefits

• 401(k) matching

• Home Office Stipend

• Paid Time off

• Medical Insurance

• Dental Insurance

• Vision Insurance

Supervisor
This role reports to the VP of Integrated Patient Care

EEO statement

Flourish Health is an Equal Employment Opportunity (EEO) employer. We are committed to providing a work environment that is free from discrimination and harassment on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local laws. We embrace diversity and encourage all qualified candidates to apply, as we believe that our differences make us stronger and more innovative. Our dedication to inclusivity is the foundation of our work culture, where everyone is valued, respected, and has an equal opportunity to thrive.

E-Verify

Flourish Health participates in E-Verify. As an employer, we comply with federal law by verifying the identity and employment eligibility of all individuals hired to work in the United States