Family Nurse Practitioner 2

DISCLOSURE - MULTI-EMPLOYER ROLE:

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

FOCUS #1 Community Wellness Outpatient Mental Health Center

FOCUS #2 Lighthouse Behavioral Health Center

FOCUS #3 Community Wellness Psychiatric Rehabilitation Program

FOCUS #4 HolBrock Estates Supportive Housing Programs

FOCUS #5 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 approximately one-fourth of the total weekly hours (about 6 hours per week) 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:

Part-time W-2 employee (24 hours per week over three scheduled days). This position is structured as a multi-program role with the following allocation of total weekly hours:

• Freedom Health Care Freestanding General Primary Care Clinic: 15% (approximately 3.6 hours/week)
• Community Wellness Outpatient Mental Health Center (CWOMHC): 25% (approximately 6 hours/week)
• Lighthouse Behavioral Health Center (LHBHC): 25% (approximately 6 hours/week)
• Community Wellness Psychiatric Rehabilitation Program (CWPRP): 20% (approximately 4.8 hours/week)
• HolBrock Estates Supportive Housing Programs (HESHP): 15% (approximately 3.6 hours/week)

WORK SCHEDULE: Part-Time - Tuesday and Thursday - 8 AM - 5 PM / 16 hours per week

COMPENSATION RANGE:
Compensation for this position ranges from $30.00 to $90.00 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.

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 Family Nurse Practitioner (FNP)
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 6 hours per week / 25% of total weekly hours)

ALTERNATE TITLE(S): Somatic Nurse Practitioner Somatic Evaluator

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:

SUMMARY OF POSITION RESPONSIBILITIES:
To be successful in this role the employee must be a self-starter organized clinically skilled in somatic healthcare and collaborative across multidisciplinary teams. As a Family Nurse Practitioner (Somatic Evaluator) you will provide comprehensive somatic care to clients receiving outpatient mental health services. This includes medical evaluations medication management and oversight of clinical documentation and service delivery in accordance with applicable regulatory requirements.

You are authorized to bill CPT codes 99213 and 99215 for eligible somatic services line with COMAR 10.20.06 you are responsible for reviewing and documenting each clients somatic status upon program enrollment including medical history current conditions medications and recommendations for follow-up. If a client does not have a primary care provider you will ensure referral plans are developed and executed with proper consent and collaboration maintained between the treatment coordinator and the primary care provider.

Additionally under COMAR 10.21.20.08 you will support the integration of co-occurring substance use disorder treatment into mental health care plans or coordinate with certified substance use providers when necessary. As part of the clinical team you will also ensure that staff are supported in understanding medication safety and monitoring protocols and that all medication servicesincluding prescribing administration education and documentationare delivered with the highest standards of care.

You will provide leadership and oversight as part of the organizations medical and clinical governance team contributing to peer reviews interdepartmental coordination quality assurance and regulatory preparedness.

SCHEDULED DUTIES AND RESPONSIBILITIES:
1. Conduct face-to-face somatic evaluations assessments and medication management services for clients enrolled in Community Wellness programs.
2. Review and document comprehensive somatic medical history including current health conditions (e.g. allergies neurologic disorders communicable diseases) medications and relevant treatment history.
3. Develop follow-up plans for somatic care including referral to a primary care provider if the client does not have one.

FOCUS #2:

CLASSIFICATION: Part-time W-2 employee (approximately 6 hours per week / 25% of total weekly hours)

ALTERNATE TITLE(S): Medication Assisted Treatment Nurse Practitioner

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:

SUMMARY OF POSITION RESPONSIBILITIES:
The Family Nurse Practitioner (FNP) at Lighthouse Behavioral Health Center serves a critical role in delivering Medication Assisted Treatment (MAT) services for individuals with opioid use disorder and other substance use conditions. The FNP will provide evidence-based person-centered care under the guidelines of COMAR 10.09.80.05 and is authorized to bill CPT codes 99202 HG 99203 HG 99204 HG 99205 HG 99211 HG 99212 HG 99213 HG and 99215 HG for MAT services.

The FNP will be responsible for conducting clinical assessments prescribing and managing buprenorphine and other FDA-approved medications monitoring clients for safety and effectiveness of treatment and working collaboratively with behavioral health professionals to ensure integrated wraparound care. This role requires knowledge of pharmacological treatment protocols withdrawal management flexible tapering strategies and the ability to evaluate each clients individual dosing needs.

In accordance with COMAR 10.09.06.04 the FNP must be available on-site and on-call each week to support medical service needs across all residential treatment programs operated by Lighthouse Behavioral Health Center.

The FNP also contributes to regulatory compliance treatment planning documentation and coordination with internal staff and external care providers. The ideal candidate is compassionate clinically competent and dedicated to supporting recovery harm reduction and long-term wellness for clients navigating substance use disorders.

SCHEDULED DUTIES AND RESPONSIBILITIES:
Be available on-site and on-call each week to fulfill medical oversight and urgent care needs at each of Lighthouses residential treatment program sites in accordance with COMAR 10.09.06.04.
Conduct initial and ongoing face-to-face medical assessments of clients seeking or receiving Medication Assisted Treatment.
Prescribe and manage buprenorphine and other FDA-approved medications in compliance with all applicable state and federal regulations.
Evaluate clients for contraindications to medications explain risks and benefits and support shared decision-making.
Monitor clients withdrawal symptoms and response to medication and make dosage adjustments as clinically indicated.
Support client-requested flexible tapering and withdrawal management ensuring safety and dignity in all treatment adjustments.
Order and review necessary labs or diagnostic screenings and document all findings in the clients medical record.
Provide medication education to clients and authorized caregivers including storage usage expected effects and side effects.
Notify with proper consent any individuals responsible for medication administration or oversight of medication changes or new regimens.
Maintain timely accurate clinical documentation in the EHR using appropriate HG-modified CPT codes.
Collaborate with the interdisciplinary team including counselors peers and case managers to ensure continuity of care and recovery support.
Participate in internal case reviews team meetings and quality improvement or audit activities.
Adhere to all standards outlined by COMAR 10.09.80.05 COMAR 10.09.06.04 DEA regulations and internal policy guidelines.

FOCUS #3:

CLASSIFICATION: Part-time W-2 employee (approximately 4.8 hours per week / 20% of total weekly hours)

ALTERNATE TITLE(S): Nurse Practitioner Consultant

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 Nurse Practitioner Consultant plays a critical advisory and clinical oversight role within Community Wellnesss Psychiatric Rehabilitation Program (PRP) operating under the Maryland Department of Health (MDH) Health Home model. This position is responsible for providing medical consultation and clinical support to ensure integrated care for individuals with serious mental illness and co-occurring chronic health conditions.

In accordance with the MDH Health Home Manual the Nurse Practitioner Consultant must dedicate a minimum of 1.5 hours per Health Home enrollee per 12 months focusing on assessment review case consultation care planning and quality improvement efforts. The provider must meet the requirements set forth in COMAR 10.27.07 and serve as a clinical leader within the PRPs multidisciplinary Health Home team.

This role requires thoughtful collaboration strong clinical judgment and a commitment to improving client outcomes through whole-person integrated care coordination.

SCHEDULED DUTIES AND RESPONSIBILITIES:
1. Review and sign off on initial intake assessments for individuals enrolled in the PRP Health Home ensuring that somatic and psychiatric concerns are identified early and appropriately addressed.
2. Participate in treatment planning and clinical case reviews contributing to the development of individualized person-centered service plans that reflect both behavioral and physical health needs.
3. Provide consultation to other Health Home practitioners (e.g. therapists nurses case managers) on general and participant-specific medical issues medication concerns or chronic disease management strategies.
4. Collaborate with external providers including primary care physicians specialists and pharmacies to support care coordination reduce fragmentation and ensure continuity of care.
5. Assist with clinical oversight of Health Home quality improvement initiatives including periodic audits data review and system-level problem-solving.
6. Educate and train Health Home staff as needed on relevant topics such as integrated care medication safety health conditions commonly impacting the PRP population and clinical best practices.
7. Maintain compliance with all applicable COMAR 10.27.07 regulations and documentation requirements per MDH Health Home program standards.
8. Ensure that all consultation and clinical activities meet the time commitment and service expectations outlined in the MDH Health Home Manual (1.5 hours annually per enrollee).
9. Participate in readiness reviews audits or stakeholder meetings as requested by the Health Home program director or senior leadership.

FOCUS #4:

CLASSIFICATION: Part-time W-2 employee (approximately 3.6 hours per week / 15% of total weekly hours)

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

COMPANY: HolBrock Estates Supportive Housing Program

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:
Be available on-call to provide the below duties in the unlikely event the two primary delegating nurses are unavailable.
The Delegating Nurse Case Manager 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.

FOCUS #5:

CLASSIFICATION: Part-time W-2 employee (approximately 3.6 hours per week / 15% 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:

ACCOUNTABLE FOR: Medical Receptionist

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