Psychiatric Mental Health Nurse Practitioner 1

DISCLOSURE - MULTI-EMPLOYER ROLE:

This W-2 hourly Psychiatric Mental Health Nurse Practitioner position includes responsibilities that span across the following three organizations all under shared leadership:

FOCUS #1 Community Wellness Outpatient Mental Health Center

FOCUS #2 Lighthouse Behavioral Health Center

FOCUS #3 Freedom Healthcare

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 24-hour per week position with a portion of the the 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 part-time W-2 employee position totaling 24 hours per week worked over three scheduled days with hours allocated across three affiliated companies as follows:

• Freedom Health Care Freestanding General Primary Care Clinic (FHFSGC):
  Part-time W-2 employee approximately 2.4 hours per week (10% of total weekly hours)
• Community Wellness Outpatient Mental Health Center (CWOMHC):
  Part-time W-2 employee approximately 10.8 hours per week (45% of total weekly hours)
• Lighthouse Behavioral Health Center (LHBHC):
  Part-time W-2 employee approximately 10.8 hours per week (45% of total weekly hours)

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

• 20 hours per week for a Program Director at Community Wellness OMHC
• 20 hours per week for a Medical Director at Community Wellness OMHC
• 20 hours per week for a Clinical Director at Lighthouse Behavioral Health Center

Collectively the five assigned professionals provide a total of 120 hours of leadership coverage per week which exceeds the COMAR requirements for each organization as follows:

• Community Wellness OMHC (Backup Program Director Requirement):
  COMAR requires 20 hours/week; the team provides 24 hours/week
  Exceeds requirement by 4 hours/week
• Community Wellness OMHC (Medical Director Requirement):
  COMAR requires 20 hours/week; the team provides 54 hours/week
  Exceeds requirement by 34 hours/week
• Lighthouse Behavioral Health Center (Clinical Director Requirement):
  COMAR requires 20 hours/week; the team provides 42 hours/week
  Exceeds requirement by 22 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:

The Psychiatric Mental Health Nurse Practitioner (PMHNP) will work every Monday and two other set weekdays each week from 8:00 AM to 5:00 PM on each assigned day. The schedule will include one full administrative day (Monday) and two days focused primarily on direct client care and clinical services.

• Monday is designated as the Administrative Day with structured responsibilities that include leadership meetings documentation audits quality reviews (COMAR CARF policies) psychiatric updates (90792) and team collaboration.
• The two additional weekdays will focus on the provision of direct treatment services including:
  • Psychiatric focused evaluations and medication management
    
  • Substance use disorder focused evaluations and medication management
    
  • Primary care focused evaluations and medication management
  • Care coordination and supervision of multidisciplinary clinical staff
  • Documentation prescribing treatment planning and compliance with CWOMHC / LHBHC / FHFGC service standards

COMPENSATION RANGE:
Compensation for this position ranges from $30.00 to $100.00 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.

DUTIES AND RESPONSIBILITIES:
1. Facilitate and document coordination with external primary care providers as clinically appropriate and with proper consent.
2. Prescribe medications following a full face-to-face evaluation and assess for any contraindications prior to initiating a medication regimen.
3. Educate clients and when appropriate caregivers on the purpose effects and risks of prescribed medications.
4. Monitor and adjust medication regimens as clinically indicated; conduct evaluations at a minimum every 90 days for ongoing medication management.
5. Notify the clients primary care provider of new prescriptions or medication changes every six months or as clinically required.
6. Conduct peer reviews of other prescribers work and support documentation compliance across the clinical team.
7. Participate in interdisciplinary team meetings with HR Scheduling Patient Access and other departments to support clinical and administrative needs.
8. Conduct batch documentation audits including review and signature of referrals treatment plans biopsychosocial ASAMs and intern notes.
9. Collaborate with external agencies or treatment providers in cases involving shared clients or complex care needs.
10. Accept and review incoming lab results in ICANotes; use clinical judgment to adjust care plans accordingly.
11. Ensure all documentation is completed within expected timeframes using ICANotes and is coded appropriately using evaluation and management CPT codes.
12. Contribute to quality assurance audit readiness and performance improvement initiatives to ensure compliance with COMAR CARF Medicaid and internal standards.
13. Provide support and education to clinical staff related to medication protocols and service delivery expectations.
14. Submit periodic reports and summaries related to administrative and clinical oversight duties.

15. Administrative Leadership Monday (8:00 AM 5:00 PM)

Mondays are fully dedicated to fulfilling administrative and clinical leadership responsibilities across all three affiliated programs:

• Community Wellness Outpatient Mental Health Center (OMHC)
• Lighthouse Behavioral Health Center
• Freedom Healthcare Community Wellness Primary Care Clinic

The PMHNP will support clinical compliance supervision documentation review quality assurance and coordination with executive and program leadership in alignment with all applicable COMAR regulations CARF standards and internal policies.

The schedule for this dedicated administrative day includes:

• 8:00 AM 9:00 AM
  Participate in the weekly leadership meeting alongside:
  • Patient Access Specialists 1 and 3
  • Scheduling Department Supervisor
  • PRP/BHH Director
  • Housing Services Director
  • COO and CEO
• 9:00 AM 9:30 AM
  • Plan the day with the Operations Manager
  • Conduct self-directed administrative tasks (emails voicemails calls)
  • Meet with the assigned administrative assistant
  • Conduct candidate interviews scheduled by HR (if applicable)
  • Document client care coordination using time-based CPT codes:
    • 99211 (09 minutes)
    • 99212 (1019 minutes)
    • 99213 (2029 minutes)
    • 99214 (3039 minutes)
    • 99215 (4060 minutes)
• 9:30 AM 10:00 AM
  Conduct a weekly COMAR review working toward full review of all applicable regulatory sections within six months. Provide feedback or change recommendations to executive leadership.
• 10:00 AM 10:30 AM
  Conduct a weekly CARF standards review offering feedback during executive meetings or via collaborative email for policy or procedural improvements.
• 10:30 AM 11:00 AM
  Review the Policy & Procedure Manual with the goal of reviewing and signing all relevant documents within six months. Share feedback for improvements with executive leadership.
• 11:00 AM 12:00 PM
  In ICANotes run a productivity report and review/sign all services coded as:
  • H0001 H00and W1760
  • Services reviewed must have been rendered within the past 14 days across all provider teams and locations
• 12:00 PM 1:00 PM
  Lunch
• 1:00 PM 2:00 PM
  In ICANotes review and sign off on Treatment Plan documentation for all providers across all locations within the last 14 days
• 2:00 PM 2:30 PM
  Self-directed administrative time:
  • Complete documentation conduct follow-up calls or continue HR interviews
  • Document care coordination time using appropriate billing codes ()
• 2:30 PM 4:30 PM
  Conduct four 90792 psychiatric evaluation update sessions for clients who have not been seen by the Medical Director within the past 180 days
• 4:30 PM 4:45 PM
  Meet with the Patient Access Specialist team to audit review and sign all client intakes from the past 14 days
  • Identify and troubleshoot deviations in intake and discharge workflow
• 4:45 PM 5:00 PM
  Submit a Daily Report-Out to the Operations Manager summarizing completed administrative tasks supervision audits and outstanding items requiring follow-up
  
  

16. Clinical Days Two set Weekdays (8:00 AM 5:00 PM)

During clinical days the PMHNP will provide psychiatric care medication-assisted treatment (MAT) and integrated primary care coordination across the following affiliated programs:

• Community Wellness Outpatient Mental Health Center (CWOMHC)
• Lighthouse Behavioral Health Center
• Freedom Healthcare Community Wellness Primary Care Clinic (a freestanding general clinic)

The schedule for these dedicated clinical days include:

• Conducting psychiatric evaluations re-evaluations and follow-up medication management visits for individuals receiving outpatient mental health substance use disorder or primary care services
• Delivering Medication Assisted Treatment (MAT) using FDA-approved medications such as buprenorphine in alignment with COMAR 10.09.80 and federal MAT standards
• Responding to medical emergencies in outpatient or residential care settings and conducting diagnostic assessments as clinically indicated
• Managing and documenting all services in the electronic health record (EHR) using appropriate billing codes including:
  • H0004 H0032
• Coordinating care across multidisciplinary teams and external providers to ensure continuity of care and comprehensive support for physical and behavioral health needs
• Serving as the Supervising Provider on Duty during all scheduled shifts for both CWOMHC and Lighthouse Behavioral Health Center providing clinical oversight for therapists nurses prescribers and support staff
• Referring clients to the Psychiatric Rehabilitation Program (PRP) when clinically appropriate and completing necessary documentation and care transition planning
• Supporting and when assigned delivering basic primary care services at the Freedom Healthcare freestanding general clinic including chronic disease management health screenings and coordination with behavioral health providers
• Ensuring that all services adhere to the standards outlined in COMAR 10.21.20 10.09.80 10.47.01 and any applicable state and federal healthcare regulations

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:
1. Provision of credentialed focused evaluations treatments and assessments to patients
2. Monitor and evaluate individual treatment plans and service modalities rendered by staff under your oversight with the goal of enhancing effectiveness streamlining implementation assuring quality and model fidelity
3. Prescribe and manage medications for patients with focus on somatic/chronic conditions
4. Monitor and evaluate the effectiveness of treatment plans
5. Collaborate with other healthcare professionals to provide comprehensive care
6. Educate patients and their families about somatic health conditions and treatment options

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS:
Candidates must meet the following minimum qualifications to be considered for this role:
Active licensure with the Maryland Board of Nursing (MBON) as a Certified Registered Nurse Practitioner (CRNP)
Masters Degree in Nursing from an accredited institution
Board certification as a Psychi9atric Mental Health Nurse Practitioner (PMH)
Possession of a valid DEA (Drug Enforcement Administration) registration
Possession of a valid CDS (Controlled Dangerous Substances) registration
Willingness and ability to maintain professional medical malpractice insurance coverage

FOCUS #1:

CLASSIFICATION: Part-time W-2 employee approximately 10.8 hours per week (45% of total weekly hours)

ALTERNATE TITLE(S): Psychiatric Mental Health Nurse Practitioner Medical Director Interim Program Director

COMPANY: Community Wellness Outpatient Mental Health Center

Community Wellness Outpatient Mental Health Center (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:

ACCOUNTABLE FOR: All OMHC staff

SUMMARY OF POSITION RESPONSIBILITIES:

The Psychiatric Mental Health Nurse Practitioner (PMHNP) serves as a critical clinical leader at Community Wellness Outpatient Mental Health Center (CWOMHC) providing direct psychiatric care medication management clinical oversight and regulatory leadership in compliance with COMAR 10.21.20.

In accordance with COMAR 10.21.20.10 this position may fulfill the responsibilities of both the Medical Director and Program Director when applicable. As Medical Director the PMHNP assumes responsibility for the therapeutic direction and medical quality of the program including diagnostic and treatment standards prescribing practices physician coverage and clinical supervision. As Program Director the PMHNP ensures administrative continuity regulatory compliance and multidisciplinary team oversight including during staff absences or vacancies.

Additionally the PMHNP provides direct psychiatric care and is authorized to bill for a wide range of clinical and rehabilitative services including but not limited to CPT and HCPCS codes: H0032 H0046 H2027 H1011 S9480 GAMDC.

This role supports integrated treatment planning for individuals with mental health and co-occurring substance use disorders ensuring care is person-centered coordinated and in full alignment with state regulations.

SCHEDULED DUTIES AND RESPONSIBILITIES:

1. Direct Clinical Care & Medication Management

• Conduct face-to-face psychiatric evaluations and re-evaluations for individuals receiving services at the OMHC
• Prescribe monitor and adjust psychotropic medications based on clinical assessment and client needs
• Provide psychoeducation on medication effects side effects and treatment adherence
• Evaluate clients face-to-face at least every 90 days when under ongoing medication management
• Ensure documentation meets COMAR requirements including rationale for prescriptions lab monitoring and coordination with primary care providers
• Notify primary care providers every 6 months regarding medication changes with proper consent
• Use approved codes for billing all reimbursable services in accordance with Medicaid and COMAR guidelines

2. Oversight of Co-Occurring Disorder Services (COMAR 10.21.20.08D)

• Review assessments to determine if clients have secondary substance use disorders
• If the program provides substance abuse services ensure appropriate documentation reflects integrated care
• If not document coordination with certified substance use providers and maintain collaboration with proper consent

3. Medical Director Duties (Per COMAR 10.21.20.10(2))

• Establish and maintain clinical and prescribing standards for the program
  
• Review and sign the Medical Director attestation or affidavit required by the Behavioral Health Administration (BHA) or other governing bodies at the time of OMHC program re-licensure or license renewal.
• Serve as the supervising provider for all OMHC services rendered while on duty providing clinical oversight and availability to other prescribers therapists and administrative staff for case consultation medication or treatment approvals and emergent decision-making.
• Refer clients to the Psychiatric Rehabilitation Program (PRP) on behalf of the OMHC when clinically indicated ensuring a smooth and compliant linkage between outpatient mental health services and community-based rehabilitative support.
  
• Oversee medical aspects of quality management including peer review and incident response
• Ensure adequate physician or prescriber coverage and after-hours care protocols
• Supervise treatment staff and maintain clinical compliance across disciplines
• Provide consultation to all clinical personnel on complex cases or clinical decisions

4. Program Director Duties (When Designated)

• In the absence or vacancy of the OMHC Program Director the employee will automatically serve as Acting Program Director. The employee will be responsible for the oversight of clinical operations supervision of staff regulatory compliance program performance and coordination with external partners and oversight bodies.
• Fulfill all administrative oversight responsibilities under COMAR 10.21.17 and 10.21.20
• Ensure continuity of care and supervision in the absence of other clinical or administrative staff
• Maintain knowledge of and compliance with all regulatory requirements for OMHC operations
• Oversee the clinical supervision system for licensed and unlicensed staff providing therapeutic services
  

5. Administrative & Quality Responsibilities

• Participate in internal audits external licensing reviews and quality improvement initiatives
• Provide supervision or consultation to graduate-level interns or early-career clinicians as assigned
• Attend leadership meetings and participate in strategic planning policy development and staff education
• Ensure the implementation of evidence-based practices and trauma-informed approaches across clinical services

FOCUS #2:

CLASSIFICATION: Part-time W-2 employee approximately 10.8 hours per week (45% of total weekly hours)

ALTERNATE TITLE(S): Medication Assisted Treatment Nurse Practitioner Clinical Director Interim Administrator

COMPANY: Lighthouse Behavioral Health Mental Health Center

Lighthouse Behavioral Health Center 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:

ACCOUNTABLE FOR: All SUD staff

SUMMARY OF POSITION RESPONSIBILITIES:

The Psychiatric Mental Health Nurse Practitioner (PMHNP) at Lighthouse Behavioral Health Center serves a dual role as both a clinical provider and program leader within a licensed behavioral health and residential substance use disorder treatment setting. The PMHNP provides Medication Assisted Treatment (MAT) and psychiatric care ensures regulatory and quality compliance and may function in clinical leadership and administrative capacities in accordance with COMAR regulations.

Under COMAR 10.09.80.05 the PMHNP must hold DEA Schedule III authority and is authorized to bill for services using HHG 99203 HG 99204 HG 99205 HG 99211 HG 99212 HG 99213 HG and 99215 HG. The PMHNP delivers pharmacologic treatment using FDA-approved medications such as buprenorphine supports flexible tapering and withdrawal management and ensures that all services are clinically appropriate and client-centered.

The PMHNP also fulfills requirements for residential Level 3.1 (low intensity) Level 3.3 (medium intensity) and Level 3.5 (high intensity) providers by ensuring sufficient clinical coverage to conduct initial diagnostic work-ups manage medical emergencies and refer for identified medical or surgical needs. The PMHNP must be available for at least:

• 3 hours per week for Level 3.3 services
• 1 hour per week for Level 3.1 and Level 3.5 services

In addition the PMHNP serves as the Clinical Director as defined under COMAR 10.21.07.02(14) responsible for the therapeutic and rehabilitative direction of the program. This includes direct clinical supervision of counselors peer recovery staff and oversight of all care coordination with external providers.

The PMHNP may also serve as the Program Director and must be on-site at least 20 hours per week while fulfilling that role. The Program Director is responsible for the continuity of clinical operations regulatory compliance and staff supervision.

In the absence or vacancy of the Lighthouse Administrator the PMHNP will automatically assume the responsibilities of Acting Administrator ensuring uninterrupted program operations staff leadership adherence to internal policies and procedures and regulatory oversight per COMAR 10.47.01.06.

SCHEDULED DUTIES AND RESPONSIBILITIES:

1. Medication-Assisted Treatment & Psychiatric Services

• Conduct initial psychiatric and diagnostic evaluations including history-taking risk assessment and treatment planning
• Prescribe and manage FDA-approved medications (e.g. buprenorphine) ensuring dosage is personalized and clinically justified
• Monitor and manage withdrawal symptoms support stabilization and prevent relapse through individualized MAT plans
• Educate clients about medication effects safe use storage side effects and their role in recovery
• Provide flexible tapering and withdrawal management when requested while maintaining medical safety
• Order and administer non-narcotic medications when indicated
• Ensure thorough accurate documentation in the EHR and use correct billing codes as authorized under COMAR and Medicaid

2. Residential Program Compliance

• Ensure sufficient clinical presence for Level 3.3 and Level 3.5 residential services by:
  • Being available at least 3 hours/week for Level 3.3
  • Being available at least 1 hour/week for Level 3.5
• Provide initial diagnostic evaluations handle medical emergencies and refer clients for medical/surgical needs as appropriate in residential settings

3. Clinical Leadership (Clinical Director Role per COMAR 10.21.07.02(14))

• Direct and supervise therapeutic and rehabilitative services
• Provide clinical oversight to counselors peer support staff and case managers
• Ensure care coordination across providers and promote continuity of treatment
• Maintain clinical documentation and program service quality to meet or exceed licensing standards

4. Program Oversight (Program Director Role)

• Serve as Program Director if designated and be on-site at least 20 hours/week
• Ensure compliance with COMAR 10.21.17 and 10.47.01 including clinical and operational readiness
• Ensure continuity of care when clinical staff are unavailable
• Supervise multidisciplinary staff and provide mentorship or oversight as needed
• Maintain knowledge of all regulatory requirements related to OMHC and SUD treatment

5. Contingency Administrative Leadership (Acting Administrator)

• Automatically assume the Administrator role in the event of a vacancy
• Oversee day-to-day operations staff coordination and policy enforcement
• Ensure quality assurance incident reporting and compliance with state and federal regulations
• Collaborate with executive leadership to maintain licensing standards and operational continuity

FOCUS #3:

CLASSIFICATION: Part-time W-2 employee approximately 2.4 hours per week (10% of total weekly hours)

ALTERNATE TITLE(S): Family Nurse Practitioner

COMPANY: Freedom Healthcare

Freedom Healthcare doing business as Community Wellness Primary Care Clinic is a mission-driven organization dedicated to improving health equity through integrated compassionate and community-based care. Our clinic provides high-quality primary care services with a focus on underserved populations including individuals with co-occurring behavioral health conditions chronic illness or complex social needs.

As a part of Freedom Healthcares broader commitment to holistic wellness and community empowerment Community Wellness Primary Care Clinic delivers accessible services such as preventive care chronic disease management health screenings and coordination with behavioral health supports. Our multidisciplinary team strives to meet patients where they arephysically emotionally and sociallywhile ensuring dignity respect and quality in every interaction.

COMPANY WEBSITE:

COMPANY PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

SUMMARY OF POSITION RESPONSIBILITIES:

The Primary Care Nurse Practitioner (PCNP) at Community Wellness Primary Care Clinic plays a vital role in delivering high-quality patient-centered care to individuals and families in underserved communities. This position focuses on prevention chronic disease management acute care and care coordination for populations that often experience health disparities including those with co-occurring behavioral health or housing-related needs.

The PCNP will independently assess diagnose and treat patients in accordance with established clinical protocols while also collaborating with medical assistants behavioral health providers case managers and external specialists to ensure whole-person care. The ideal candidate is compassionate organized and committed to health equity and community wellness.

SCHEDULED DUTIES AND RESPONSIBILITIES:

• Provide comprehensive primary care services including routine wellness exams acute visits chronic disease management and follow-up care
• Perform patient assessments obtain medical histories conduct physical exams and order diagnostic tests as needed
• Diagnose and treat common acute and chronic conditions such as hypertension diabetes asthma infections and minor injuries
• Prescribe medications and develop individualized care plans in line with current clinical guidelines
• Deliver preventive health screenings and educate patients on lifestyle changes immunizations and disease prevention
• Coordinate care with internal behavioral health substance use and case management teams as appropriate
• Make referrals to specialty providers hospitals or community-based resources when medically indicated
• Document all encounters accurately in the electronic health record (EHR) and ensure compliance with regulatory and billing requirements
• Participate in team huddles case reviews and clinical quality improvement initiatives
• Serve as a clinical resource to support staff and promote evidence-based practice within the care team