About this role
DISCLOSURES
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.
MULTI-EMPLOYER ROLE
This W-2 hourly Family 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 approximately one-third of the total weekly hours (about 8 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.
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, Friday and one other set weekday each week, from 8:00 AM to 5:00 PM on each assigned day. The schedule will include one full administrative day (Fridays) and two days (Thursday and one other set weekday) focused primarily on direct client care and clinical services.
• Friday of each week 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 Friday and one other set weekdays will focus on the provision of psychiatric 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 client's 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 – Friday (8:00 AM – 5:00 PM)
Fridays 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, including:
• Patient Access Specialists 1 & 3
• Scheduling Department Supervisor
• PRP/BHH Director
• Housing Services Director
• COO and CEO
• 9:00 AM – 9:15 AM
• Plan the day with the Operations Manager
• Conduct administrative tasks (email, voicemail, calls)
• Meet with administrative assistant or conduct scheduled HR interviews
• Document care coordination using appropriate CPT codes (99211–99215)
• 9:15 AM – 9:30 AM Shadow one random session conducted by a Clinical Supervisor or Prescriber for quality and mentorship purposes
• 9:30 AM – 10:00 AM Participate in the weekly budget vs. actual financial review with:
• Finance Division Manager
• Accounts Receivable and Accounts Payable Managers
• COO
• Focus: SUD OP, IOP, and Residential Programs
• 10:00 AM – 10:45 AM Conduct weekly clinical supervision with the organization’s Clinical Director (or substitute with HR interview if applicable)
• 10:45 AM – 11:00 AM Self-directed administrative time, continued communication follow-ups, and care coordination documentation (CPT 99211–99215 as applicable)
• 11:00 AM – 11:45 AM Conduct monthly individual clinical supervision with:
• One prescriber (from pool #23, 36, 40, 45, 79, 89, 91, or 95) not yet seen this month
• One Registered Nurse or Somatic Nurse Practitioner
• Use Quick Notes supervision code 11111 to log each session
• 11:45 AM – 12:45 PM Lunch
• 12:45 PM – 1:15 PM Participate in the OMHC and FGC budget vs. actual financial meeting with:
• Finance Division Manager
• Accounts Receivable and Accounts Payable Managers
• COO
• 1:15 PM – 2:15 PM Host the weekly all-staff meeting or in-service for OMHC/SUD counselors and therapists as scheduled
• 2:15 PM – 4:45 PM Conduct five 90792 psychiatric evaluation update sessions with clients who have not been seen by the Medical Director in the past 180 days
• 4:45 PM – 5:00 PM Submit a Daily Report-Out to the Operations Manager summarizing:
• Clinical supervision completed
• Financial review highlights
• Staff meetings or consultations held
• 90792 evaluations conducted
• Outstanding administrative follow-ups
16. 🩺 Clinical Days – Mondays and one other set Weekday (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:
• 90791, 90792, 99202–99205, 99211–99215, 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) • Master’s 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:
ABOUT COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER, LLC
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 services—including therapy, psychiatric evaluation, medication management, and care coordination—designed 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.
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
COMPANY WEBSITE: https://cwomhc.org/
COMPANY PHONE NUMBER: (667) 309-9920
HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 309-9920 EXT 10
HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected]
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: 90791, 90792, 90832, 90833, 90834, 90836, 90846, 90847, 90853, 99202–99205, 99211–99215, 99417 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