Job Description
Job Description:\n\nSalary: $30 - $90 per hour 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: Every Monday, Wednesday and 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 $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 OpportunitiesANTICIPATED 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. 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 patients2. 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 fidelity3. Prescribe and manage medications for patients with focus on somatic/chronic conditions4. Monitor and evaluate the effectiveness of treatment plans5. Collaborate with other healthcare professionals to provide comprehensive care6. 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: https://cwomhc.org/ COMPANY PHONE NUMBER: (667) 309-9920 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 309-9920 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: hr@cwomhc.org 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 99202, 99203, 99204, 99205, 99211, 99212, 99213, and 99215 for eligible somatic services rendered. In 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: https://lighthousebhc.org COMPANY PHONE NUMBER: (667) 400-6206 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: hr@lighthousebhc.org 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 Lighthouse's 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: https://cwprp.org COMPANY: Community Wellness Psychiatric Rehabilitation Program The Community Wellness Psychiatric Rehabilitation P