Did you install a carb along with the "carb" intake? If so, the ECM is not going to manage your timing accurately. Find an HEI and install. If still running the TBI, get a scanner and it'll show you L and R bank 02 sensor counts. You'll know whether lean or rich. Must be warmed up and into closed loop for this function. Also check knock sensors for overcounts...if so, too lean or too much advance. If the knock sensors are detecting too many noises (including noisy valve train) it sets the engine timing back and may go into limp mode.
If the engine backfires thru the intake, it's too lean or too much adv timing. If it just bogs, real-time scan tool will allow you to sort it out.
An RV cam is not (typically) radical enough to cause much change in performance..unless the cam is timed up wrong.
The cam provider may recommend a "program", but they recommend such if left stock.
What is cranking compression?
Are correct plugs for your heads installed?
What engine was the cam spec'd for?
The intake ports and heads match?
Head gaskets correct?
How did the EGR work with your intake? L
Are all sensors that were originally on the factory intake returned to your new intake? If not, it won't run correctly.
If it runs that poorly, you gotta have some codes set. Resolve them.
SOLUTION: Snatch that puppy out and drop an OBD1 LT1-LT4 in there! Live happily ever after! At least until the Opti fails