Behavioral Health Manager- Nurse Practitioner

SHPCA SCAN Health Plan; California; Hybrid; USD 125,000 - 216,000; Full time

Benefits offered by this job

Robust Wellness Program

Generous PTO

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan is seeking a Behavioral Health Manager, NP-ICD to lead and scale integrated behavioral health services for Medicare members. The role blends direct clinical care (about 70%) with strategic leadership (about 30%), guiding a multidisciplinary team and collaborating with primary care to improve access, quality, and outcomes in a hybrid work model.

The ideal candidate has a nursing/NP background, 5+ years NP experience, supervisory experience, and familiarity with Medicaid/Medicare

Qualifications

• Graduate or Advanced Degree in nursing required.
• California RN/NP licensure required.
• 5+ years NP experience required.
• 3+ years supervisory experience preferred.
• Experience with Medicaid/Medicare preferred.

Responsibilities

• Provide short term, evidence based behavioral health treatment to members.
• Manage members with mild to severe mental illness with risk stratification.
• Develop and oversee individualized, whole person care plans aligned with guidelines.
• Lead multidisciplinary case conferences and psychiatric rounds.
• Partner with primary care, psychiatry, case management and care teams to support member stability.
• Ensure HIPAA, regulatory compliance and proper documentation.

Skills

Leadership

Problem solving

Communication

Strategic thinking

Interpersonal skills

Education

RN/NP licensure required

Nursing degree or higher

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

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. The Behavioral Health Manager, NP-ICD leads and develops the behavioral health team, partners closely with primary care and multidisciplinary stakeholders, and drives improved access, quality, and outcomes through a collaborative care model that supports member stability and prevents avoidable events across the continuum of care.

You Will

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 (CHWs), 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 to 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.
• Supervises/Managers Others (i.e. hires, performance reviews, corrective action, etc.)
• Other duties as assigned.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

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 in working with both Medicaid and Medicare preferred.
• Leadership- Lead and inspire teams to achieve
• Problem Solving- Good problem-solving skills
• Communication- Good communication and interpersonal skills
• Strong strategic thinking skills to facilitate the development and delivery of new clinical products and services to seniors and the community.
• Strong interpersonal skills, excellent written and oral communication skills; commitment to detail.
• Demonstrated leadership and management skills.

What’s in it for you?

• Base salary range: $125,400.00 to $215,975 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 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affiant 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, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-BB1 #LI-Remote Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) Become part of a mission-driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. Why consider a career at SCAN? - A competitive compensation and benefits program; - An annual employee bonus program; - Generous paid-time-off (PTO); - Eleven paid holidays per year; - Excellent Retirement Savings program; - A work-life balance; and - An opportunity to become part of a team that makes a difference to our members and our community every day!