H-1B Visa Director Head Of Jobs
Director and Head of roles sit at the top of H-1B visa specialty occupation classifications, where your employer must file a Labor Condition Application certifying your wage meets the DOL prevailing rate for a senior-level position. Most sponsoring employers target candidates who can clear USCIS's specialty occupation bar and demonstrate managerial authority tied to a directly related degree field.
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Get Access To All JobsAbout 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 Patient Guides, your primary responsibility will be recruiting, onboarding, supporting, and managing a high-performing team of Directors of Patient 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 are a strategic leader in both remote and in-home patient care environments, and you can lead a scrappy hybrid department with excellence.
Role Responsibilities:
Productivity:
- Oversee patient 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 Patient Guides, each of whom oversee patient 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 patient guide teams
- Coach Directors of Patient Guides on clinical supervision, people management, productivity, and change management
- 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 patient care across all carepods
- Maintain strong fidelity to the Flourish integrated care model at scale
- Support Directors of Patient Guides in managing clinical escalations and complex patient care situations
- Support Directors of Patient Guides in building and maintaining guide in-home visit expectations and protocols
- Identify operational or clinical gaps and implement scalable improvements
Cross-Functional Collaboration:
- Partner closely with leadership across psychiatry, therapy, family 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 management 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 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 event 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.
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 Patient Guides, your primary responsibility will be recruiting, onboarding, supporting, and managing a high-performing team of Directors of Patient 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 are a strategic leader in both remote and in-home patient care environments, and you can lead a scrappy hybrid department with excellence.
Role Responsibilities:
Productivity:
- Oversee patient 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 Patient Guides, each of whom oversee patient 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 patient guide teams
- Coach Directors of Patient Guides on clinical supervision, people management, productivity, and change management
- 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 patient care across all carepods
- Maintain strong fidelity to the Flourish integrated care model at scale
- Support Directors of Patient Guides in managing clinical escalations and complex patient care situations
- Support Directors of Patient Guides in building and maintaining guide in-home visit expectations and protocols
- Identify operational or clinical gaps and implement scalable improvements
Cross-Functional Collaboration:
- Partner closely with leadership across psychiatry, therapy, family 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 management 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 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 event 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.
See all 4,856+ H-1B Visa Director Head Of Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Director Head Of
Map your degree to the role
USCIS requires your degree field to directly relate to the Director or Head of role, not just leadership broadly. Document how your academic background underpins the specialized function you'll oversee, not just your years of management experience.
Target employers with cap-exempt status
Universities, nonprofit research institutions, and government-affiliated organizations are cap-exempt, meaning your H-1B can be filed any time without entering the lottery. Director-level roles at these organizations often carry faster timelines and no April registration window.
Verify the LCA wage level before negotiating
Director and Head of positions typically fall at DOL wage Level III or IV. Use OFLC Wage Search to look up the prevailing wage for your occupation code and metro area before you enter salary discussions so you know the H-1B floor your employer must meet.
Search Migrate Mate for verified sponsoring employers
Filter by Director or Head of job titles on Migrate Mate to see which employers have active LCA filings for senior leadership roles. This lets you target companies with a documented history of H-1B sponsorship at the director level, not just general hiring activity.
Request premium processing before your offer deadline
USCIS premium processing guarantees a 15-business-day adjudication window. For Director hires, where start-date commitments are often tied to board approvals or fiscal calendars, asking your employer to file Form I-907 prevents months of uncertainty after the lottery.
Prepare for a specialty occupation RFE at the director level
USCIS sometimes issues Requests for Evidence questioning whether a Director role genuinely requires a specific bachelor's degree rather than general business acumen. Your employer should include the job description, organizational chart, and O*NET occupation profile in the initial petition to reduce that risk.
H-1B Visa Director Head Of: Frequently Asked Questions
Do Director and Head of roles qualify as H-1B specialty occupations?
Yes, if the position requires at least a bachelor's degree in a specific field directly related to the duties. Senior leadership titles alone don't guarantee qualification. USCIS looks at whether the functional work, not just the seniority, demands specialized theoretical knowledge. Roles overseeing engineering, finance, product, legal, or technical teams typically qualify more cleanly than general management positions.
How do I find employers who sponsor H-1B visas for Director-level roles?
Migrate Mate lets you filter by job title and displays verified DOL Labor Condition Application filing history for each employer. This tells you whether a company has actually sponsored H-1B holders at the director level before, which is a stronger signal than whether they list sponsorship as a benefit in a job posting.
Can my employer file my H-1B after I start in the Director role on another status?
Yes, if you're currently authorized to work in the U.S. on a different status, such as OPT or an L-1 visa, your employer can file a concurrent or change-of-status H-1B petition. The timing matters because your existing authorization must remain valid through the H-1B approval or the October 1 start date, whichever applies to your case.
What wage level should my employer use for an H-1B Director position?
Most Director and Head of roles fall under DOL wage Level III or Level IV, which represent experienced and fully competent workers with supervisory responsibility. Your employer determines the level using OFLC Wage Search based on your occupation code, geographic location, and the actual duties in the job description. Filing at an artificially low level is a common audit trigger.
Does H-1B sponsorship get harder if I move into a broader Head of role mid-visa?
A material change in duties, title, or worksite requires your employer to file an amended H-1B petition with USCIS before or when the change occurs. Moving from a functional director role to a broader Head of organization position can trigger the amendment requirement, especially if the occupation code or wage level changes alongside the expanded scope.