Registered Nurse 1

DISCLOSURE - MULTI-EMPLOYER ROLE:

This W-2 hourly Registered Nurse position includes responsibilities that span across the following four affiliated organizations all under shared leadership:

FOCUS #1 Community Wellness Outpatient Mental Health Center

FOCUS #2 Lighthouse Behavioral Health Center LLC

FOCUS #3 Community Wellness Psychiatric Rehabilitation Program

FOCUS #4 HolBrock Estates Supportive Housing Programs

You will maintain separate W-2 employment relationships with each organization and will receive individual payroll compensation from each entity based on the time worked and services provided for their respective programs. This means you will be an official employee of all three companies with hours responsibilities and compliance obligations tracked separately for each.

This role is structured as a 40-hour per week position with a portion of your total weekly hours allocated to each organization. While day-to-day supervision and scheduling will be coordinated centrally to support integrated care each employer will manage its own onboarding HR and compliance processes in accordance with applicable laws and organizational policies.

DISCLAIMERS:

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria necessary to perform the job successfully. Job responsibilities may be modified or expanded over time and the company will inform the employee of any such changes.

DIVISION: Operations

ACCOUNTABLE TO: Operations Manager

CLASSIFICATION:

This is a full-time W-2 employee position totaling 40 hours per week worked over five scheduled days with hours allocated across four affiliated companies as follows:

• Community Wellness Psychiatric Rehabilitation Program (CWPRP):
  Part-time W-2 employee approximately 10 hours per week (25% of total weekly hours)
• Community Wellness Outpatient Mental Health Center (CWOMHC):
  Part-time W-2 employee approximately 4 hours per week (10% of total weekly hours)
• Lighthouse Behavioral Health Center LLC (LHBHC):
  Part-time W-2 employee approximately 24 hours per week (60% of total weekly hours)
• HolBrock Estates Supportive Housing Programs (HESHP):
  Part-time W-2 employee approximately 2 hours per week (5% of total weekly hours)

This role is one of two individuals collectively assigned to meet and exceed the COMAR-mandated leadership coverage requirements which include:

• 12 hours per week for a Primary and Backup Delegating Nurse at HolBrock Estates Supportive Housing Programs
• 40 hours per week for a Psychiatric Rehabilitation Specialist and Behavioral Health Home Care Manager at Community Wellness PRP
• 20 hours per week for a Registered Nurse at Lighthouse Behavioral Health Center LLC

Collectively the two assigned professionals provide a total of 80 hours of leadership coverage per week which exceeds the COMAR requirements for each organization as follows:

• HolBrock Estates Supportive Housing Programs (Primary and Backup Delegating Nurse Requirement):
  COMAR requires primary and backup coverage; the team provides 12 hours/week
  Exceeds requirement by 4 hours/week
• Community Wellness PRP (Psychiatric Rehabilitation Specialist and Behavioral Health Home Care Manager Requirement):
  COMAR requires 40 hours/week; the team provides 40 hours/week
  Exceeds requirement by 0 hours/week
• Lighthouse Behavioral Health Center LLC (Registered Nurse Requirement):
  COMAR requires 20 hours/week; the team provides 40 hours/week
  Exceeds requirement by 0 hours/week

This structure ensures robust clinical leadership and regulatory compliance across all entities with ample coverage to support oversight team collaboration and quality improvement initiatives.

WORK SCHEDULE: Every Monday through Fridays of each week from 8:00 AM to 5:00 PM each day.

COMPENSATION RANGE:
Compensation for this position ranges from $30.00 to $45.00 per hour and is commensurate with experience expertise verified credentials and available company budget.

In addition to hourly wages eligible employees may receive a comprehensive benefits package that includes:
Paid Time Off (PTO)
Family and Medical Leave
Health Medical and Dental Insurance Reimbursement or health insurance coverage as available
Supplemental Health and Disability Insurance Options
Retirement Savings Plan
Professional Development Support and Continuing Education Opportunities

ANTICIPATED TRAVEL: 5% of the time. There is no additional compensation for travel.

GENERAL DUTIES AND RESPONSIBILITIES:

• Facilitate and document coordination with external primary care providers as clinically appropriate and with proper consent.
• Educate clients and when appropriate caregivers on the purpose effects and risks of prescribed medications.
• Participate in interdisciplinary team meetings with HR Scheduling Patient Access and other departments to support clinical and administrative needs.
• Collaborate with external agencies or treatment providers in cases involving shared clients or complex care needs.
• Ensure all documentation is completed within expected timeframes using ICANotes and is coded appropriately using evaluation and management CPT codes.
• Contribute to quality assurance audit readiness and performance improvement initiatives to ensure compliance with COMAR CARF Medicaid and internal standards.
• Provide support and education to clinical staff related to medication protocols and service delivery expectations.
• Submit periodic reports and summaries related to administrative and clinical oversight duties.

PHYSICAL DEMANDS: Regularly walk stand or stoop; occasionally lift carry push pull or otherwise move objects weighing up to 25 pounds; and regularly drive a motor vehicle.

WORKING CONDITIONS: All work is performed in an office where staff is exposed to communicable diseases of patients.

COMPETENCIES AND SKILLS:

• Prior experience working in a Health Home PRP or outpatient mental health program
• Working knowledge of ICANotes CRISP or related EHR platforms
• Prior experience delivering community-based services or conducting field-based assessments
• Certified CPR Instructor or Medication Administration Trainer a plus
• Monitor and evaluate the effectiveness of treatment plans
• Collaborate with other healthcare professionals to provide comprehensive care
• Educate patients and their families about somatic health conditions and treatment options
• Minimum 2 years of experience in substance use community health or behavioral health
• Familiarity with MAT protocols and detoxification best practices
• Experience working with vulnerable populations and trauma-informed care

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS:

• Active Registered Nurse (RN) license in Maryland in accordance with COMAR 10.27.01
• Minimum 2 years of experience in community mental health or behavioral health settings
• Strong knowledge of chronic disease management behavioral health conditions and medication monitoring
• Familiarity with COMAR CARF and Medicaid regulations
• Delegating nurse certificate from an MBON approved vendor

FOCUS #1:

CLASSIFICATION: Part-time W-2 employee (approximately 4 hours per week / 10% of total weekly hours)

ALTERNATE TITLE(S):

Clinical RN Behavioral Health Nurse Medication Education Nurse

COMPANY: Community Wellness Outpatient Mental Health Center LLC

Community Wellness Outpatient Mental Health Center LLC (CWOMHC) is a person-centered behavioral health organization committed to improving the mental and emotional well-being of individuals and families across our community. We offer a full continuum of outpatient servicesincluding therapy psychiatric evaluation medication management and care coordinationdesigned to meet the diverse needs of our clients in a compassionate and culturally responsive environment.

CWOMHC supports holistic recovery by integrating somatic behavioral and rehabilitative care. Our interdisciplinary team is dedicated to fostering resilience dignity and empowerment through trauma-informed evidence-based practices. We serve children adolescents and adults with a wide range of behavioral health conditions always with a focus on accessibility community connection and client choice.

COMPANY WEBSITE: PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

SUMMARY OF POSITION RESPONSIBILITIES:
The Registered Nurse is a critical part of the outpatient treatment team at CWOMHC responsible for supporting psychiatric care delivery through direct nursing services and client education. Under the supervision of a Nurse Practitioner (NPP) the RN is authorized to bill incident-to services ( 96372) and must ensure nursing services align with standards set forth in COMAR 10.21.20.09 and COMAR 10.20.06. The RN provides medication education performs health screenings documents somatic health histories and collaborates with primary care providers to coordinate whole-person care.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES BILLABLE CODES (INCIDENT TO NPP):

• 99211: Nurse visit under supervision of a Non-Physician Practitioner (e.g. NP)
• 36415: Blood specimen collection
• 96372: Therapeutic or prophylactic injection (subcutaneous or intramuscular)

Medication Administration & Client Education (per COMAR 10.21.20.09):

• Administer prescribed medications (e.g. injections) and document in accordance with 96372 billing standards
• Conduct medication education sessions with clients and with consent families or designated caregivers
• Verify client understanding of medication directions and adherence requirements
• Educate clients on:
  • Purpose and effects of each medication
  • Benefits side effects and symptom management
  • Nutrition and dietary implications related to the medication regimen
• Monitor clients for medication response and potential adverse effects
• Escalate medication issues to the prescribing provider or clinical team as needed

Somatic Health Review & Primary Care Coordination (per COMAR 10.20.06):

• Document a detailed somatic medical history upon program admission including:
  • Allergies chronic medical conditions communicable diseases neurologic issues
  • Past and current medications and treatments
  • Recommendations for follow-up or evaluation
• Facilitate referrals to primary care providers for clients without an established PCP
• Maintain and document ongoing coordination with primary care providers regarding somatic needs with proper consent
• Communicate any changes in the clients health status or medication plan to appropriate staff or providers

Preventive Health & Clinical Support

• Support clinical team with vitals monitoring wellness checks and health screenings
• Monitor for indicators of unmanaged medical conditions and facilitate referrals
• Educate staff and clients on disease prevention chronic condition management and wellness strategies
• Participate in interdisciplinary team meetings and client case reviews
• Maintain accurate timely and HIPAA-compliant documentation in the EHR

FOCUS #2:

CLASSIFICATION: Part-time W-2 employee (approximately 24 hours per week / 60% of total weekly hours)

ALTERNATE TITLE(S):

Registered Nurse Substance Use Disorder (SUD) & MAT Services

Behavioral Health Nurse MAT Program Nurse Detox RN

COMPANY: Lighthouse Behavioral Health Health Center LLC

Lighthouse Behavioral Health Center LLC is a community-based mental health organization dedicated to empowering individuals and families through accessible compassionate and evidence-based behavioral health services. We specialize in providing person-centered care for children adolescents and adults facing emotional behavioral and substance use challenges.

Our programs include outpatient therapy psychiatric care intensive in-home services case management and substance use treatment including Medication Assisted Treatment (MAT). At Lighthouse we believe in the power of integrated care clinical excellence and cultural humility to support long-term wellness and recovery. Guided by our mission to serve with empathy and integrity we are proud to walk alongside our clients on their path to healing and stability.

COMPANY WEBSITE:

COMPANY PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

SUMMARY OF POSITION RESPONSIBILITIES:

Assume the role of Backup Registered Nurse for the following licensed residential treatment facilities:

• Lighthouse Behavioral Health Center at 1116 E 20th Street
• Lighthouse Behavioral Health Center at 1114 E 20th Street
• Lighthouse Behavioral Health Center at 1723 Gwynns Falls Parkway

The Registered Nurse (RN) at Lighthouse Behavioral Health Center LLC is a key clinical member of the multidisciplinary team providing care to individuals with substance use disorders through Medication-Assisted Treatment (MAT) and detoxification services. The RN is responsible for conducting assessments administering and monitoring medications (including psychotropics) providing supportive education and ensuring documentation and care practices align with Medicare billing guidelines PBHS Fee Schedule for Provider Type 50 and COMAR 10.47.02.08 and 10.47.02.10.

This role plays an integral part in detox planning medication safety and care coordination for vulnerable clients in both outpatient and short-term stabilization settings.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES Per Medicare Claims Processing Manual Chapter 12 Section 30.6.7 & PBHS Fee Schedule (Provider Type 50):

• Conduct nursing assessments (W7310) for individuals entering MAT or SUD programs
• Monitor administration of medications (W7330) including methadone buprenorphine naltrexone and other psychotropic agents
• Deliver health education and supportive services (W7350) to enhance treatment adherence safety and wellness outcomes
• Document all services in accordance with CMS CPT guidelines and Medicaid audit standards

Per COMAR 10.47.02.08 Therapeutic Program Support

• Monitor medication regimens for efficacy and safety
• Support clients in completing at least 36 hours of therapeutic activity per week which may include:
  • Weekly individual counseling
  • Group counseling
  • Alcohol and drug education
  • Career counseling
  • Nutrition education
  • Family services
• Collaborate with clinical staff to ensure these activities are scheduled and completed

Per COMAR 10.47.02.10 Detoxification Services

• Conduct or participate in physical examinations under MD/NP/PA supervision
• Complete initial assessments and help draft individualized treatment plans
• Administer and monitor medications including psychotropics as prescribed
• Monitor and document vital signs withdrawal symptoms and adverse reactions
• Support and execute discharge or transfer planning in collaboration with the care team
• Perform or oversee mental health-focused assessments for patients on psychotropics
  • Approve assessments jointly with program physician
  • Maintain documentation in compliance with nursing and physician oversight protocols

Additional Duties

• Provide health education to clients and families around medication safety disease management and lifestyle wellness
• Ensure infection control standards and OSHA safety protocols are followed
• Track and manage medication inventory in partnership with pharmacy vendors
• Participate in interdisciplinary treatment team meetings and daily case huddles
• Coordinate with external medical providers labs and pharmacies
• Maintain accurate and timely clinical documentation in the EHR (e.g. ICANotes)
• Ensure services meet criteria for medical necessity and are coded to support reimbursement

FOCUS #3:

CLASSIFICATION: Part-time W-2 employee (approximately 10 hours per week / 25% of total weekly hours)

ALTERNATE TITLE(S): Health Home Care Manager Psychiatric Rehabilitation Specialist

COMPANY WEBSITE:

COMPANY: Community Wellness Psychiatric Rehabilitation Program

The Community Wellness Psychiatric Rehabilitation Program (PRP) is a core service of Community Wellness Outpatient Mental Health Center designed to support individuals living with serious mental illness in achieving stability independence and improved quality of life. Our PRP provides structured community-based support focused on developing life skills managing symptoms and promoting personal recovery goals.

Through individualized service planning case management health home coordination and peer support the PRP helps clients navigate housing employment education and health care access. Services are person-centered trauma-informed and culturally responsive with an emphasis on whole-person care and long-term wellness. The program serves both youth and adults working in close collaboration with clinical providers families and community partners.

COMPANY PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

SUMMARY OF POSITION RESPONSIBILITIES:

The Psychiatric Rehabilitation Specialist / Health Home Care Manager serves a dual function at CWPRP as both the Health Home Care Manager authorized to bill W1760/W1761 and a qualified Psychiatric Rehabilitation Specialist authorized to bill H0002. This role is essential to ensuring integrated care for individuals with serious mental illness and co-occurring physical health conditions.

As a Health Home Care Manager the RN is responsible for coordinating care for a panel of Health Home participants (currently 157 enrollees) conducting health education tracking wellness metrics and partnering with clinical teams to improve population health outcomes.

As a Psychiatric Rehabilitation Specialist the RN supports the delivery of PRP services by overseeing rehabilitation planning and educating staff on medically-informed approaches to achieving person-centered goals in IRPs and ITRPs.

ESSENTIAL FUNCTIONS HEALTH HOME CARE MANAGER

Per the Maryland Department of Health (MDH) Health Home Manual and COMAR 10.09.33.06 responsibilities include:

• Coordinate integrated medical behavioral and community-based care for assigned enrollees
• Develop and monitor wellness and prevention initiatives for high-risk populations
• Facilitate and document health education groups for individuals and families
• Participate in the development and implementation of care plans including chronic disease goal setting
• Assist in identifying and achieving person-centered health goals
• Consult with rehabilitation and clinical staff on medical conditions and care coordination strategies
• Initiate and maintain communication with PCPs hospitals specialists and pharmacies to monitor hospital admissions/discharges and medication adherence
• Provide in-service training to program staff on common medical diseases medications treatments and lab follow-up
• Track and ensure timely completion of required screenings and assessments
• Utilize health information technology tools (e.g. CRISP) to track hospital encounters labs and medication compliance
• Monitor program performance metrics and report service outcomes as required by MDH
• Ensure documentation is compliant with W1760/W1761 billing regulations and State audit readiness

ESSENTIAL FUNCTIONS PSYCHIATRIC REHABILITATION SPECIALIST

Per COMAR 10.21.21.10 the RN in this capacity will:

• Function as the Psychiatric Rehabilitation Specialist under H0002 billing authority
• Ensure rehabilitation services meet the individualized needs of PRP participants
• Lead the development and review of IRPs and ITRPs in collaboration with the clinical team
• Oversee the daily delivery of rehabilitation programming including skills development life management and behavioral activation strategies
• Conduct Rehabilitation Assessment sessions to establish and update individualized service goals
• Educate direct care staff and Community Support Workers (CSWs) on implementing rehabilitation services consistent with the goals outlined in each IRP/ITRP
• Serve as a liaison between behavioral and medical staff ensuring a holistic approach to psychosocial functioning and recovery

FOCUS #4:

CLASSIFICATION: Part-time W-2 employee (approximately 2 hours per week / 5% of total weekly hours)

ALTERNATE TITLE(S): Primary Delegating Registered Nurse Case Manager

COMPANY: HolBrock Estates Supportive Housing Program LLC

HolBrock Estates Supportive Housing Program provides safe stable and recovery-oriented housing for individuals experiencing chronic homelessness mental illness substance use disorders and other complex life challenges. More than just a place to live HolBrock Estates offers structured trauma-informed support that empowers residents to rebuild their lives with dignity and independence.

Our program integrates supportive housing with wraparound services including case management life skills development behavioral health coordination and access to medical and community resources. Each resident is provided with individualized support that fosters stability goal-setting and reintegration into the broader community.

HolBrock Estates is committed to housing as a foundation for healingoffering not just shelter but a path to wellness recovery and long-term success.

COMPANY WEBSITE:

COMPANY PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

ACCOUNTABLE FOR: CMT CNA CPRS DSP

SUMMARY OF POSITION RESPONSIBILITIES:

Assume the responsibility of Backup Delegating Nurse for the following licensed assisted living facilities:

• HolBrock Estates at 809 N Rose Street LLC
• HolBrock Estates at 1638 Ruxton Avenue LLC
• HolBrock Estates at 1620 Druid Hill Avenue LLC
• HolBrock Estates at 3021 Garrison Boulevard LLC

The Backup Delegating Nurse is responsible for overseeing clinical care regulatory compliance and safe nursing practice within the assisted living program. This role ensures that residents receive high-quality individualized care through effective assessment clinical oversight and coordination with direct care staff and leadership.

In accordance with COMAR 10.07.14.20 the Delegating Nurse shall be on-site at least every 45 days to observe each resident remain available on call or designate a qualified alternate and carry out ongoing clinical oversight. The nurse serves as the key liaison between nursing care and program management issuing clinical orders reviewing assessments and delegating nursing tasks in accordance with the scope of practice and resident needs.

The ideal candidate will have strong clinical judgment a proactive approach to care coordination and a thorough understanding of Maryland assisted living regulations.

SCHEDULED DUTIES AND RESPONSIBILITIES:
1. Conduct on-site observations of each resident at least once every 45 days documenting health status and any clinical concerns in the residents record.
2. Provide clinical oversight of resident care including reviewing and updating service plans and making recommendations based on the residents current medical and functional status.
3. Issue nursing or clinical orders as needed to support the health and safety of residents.
4. Review assessments completed by the Assisted Living Manager and confirm accuracy completeness and alignment with resident needs.
5. Appropriately delegate nursing tasks to unlicensed staff ensuring they are trained and competent to perform those tasks safely under your supervision.
6. Provide training and guidance to direct care staff on best practices in health monitoring infection control and chronic condition management.
7. Monitor staff performance as it relates to delegated tasks and provide feedback or retraining when necessary.
8. Notify the Office of Health Care Quality (OHCQ) if your employment or contract with the assisted living program is terminated and provide the reason for the termination as required under state law.
9. Maintain current and accurate documentation in accordance with COMAR facility policy and nursing standards of practice.

Required Experience:

Senior IC