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Job description
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.
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Worksite address
workfromhome, MO, 63353, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.