Psychiatric Mental Health Nurse Practitioner 2

Job Description

Job Description:\n\nSalary: $45 - $100 per hour 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 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.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 OMHC20 hours per week for a Medical Director at Community Wellness OMHC20 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/weekCommunity Wellness OMHC (Medical Director Requirement):COMAR requires 20 hours/week; the team provides 54 hours/week Exceeds requirement by 34 hours/weekLighthouse 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, Tuesday 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 (Tuesdays) and two days (Tuesday and one other set weekday) focused primarily on direct client care and clinical services.Tuesday 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 Tuesday and one other set weekdays will focus on the provision of psychiatric services, including:Psychiatric focused evaluations and medication managementSubstance use disorder focused evaluations and medication managementPrimary care focused evaluations and medication managementCare coordination and supervision of multidisciplinary clinical staffDocumentation, 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 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. 15. Administrative Leadership Tuesday (8:00 AM 5:00 PM) Tuesdays 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 CenterFreedom 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 AMParticipate in weekly leadership meeting with:Patient Access Specialists 1 & 3Scheduling Department SupervisorPRP/BHH Director, Housing Services Director, COO, and CEO9:00 AM 9:30 AMPlan day with Operations ManagerConduct emails, calls, and follow-upsConduct HR-scheduled interviews (if applicable)Document care coordination (use 9921199215 based on time spent per client)9:30 AM 10:00 AMIndividual check-in with the Chief Operating Officer (COO)10:00 AM 10:45 AMWeekly clinical supervision with the Professional Counseling Unit Clinical Supervisor (or substitute with HR interview)10:45 AM 11:00 AMMeet with SHPFM Department Director for weekly coordination11:00 AM 12:00 PMConduct monthly individual clinical supervision with one prescriber or nursing staff member (coded as 11111); includes providers across all three programs (OMHC, Lighthouse, and Freedom Primary Care)12:00 PM 1:00 PMLunch1:00 PM 1:30 PMHost weekly group clinical consults for OMHC/SUD/FGC prescribers, nurse practitioners, registered nurses, LPNs, and medical assistants1:30 PM 2:00 PMHost open consultation block for directors, staff, and clients across programs (as scheduled)2:00 PM 2:15 PMReview and sign all unreviewed PRP referrals and PAA applications2:15 PM 4:45 PMConduct five 90792 psychiatric evaluation updates with clients not seen by the Medical Director in the past 180 days (across any of the three programs)4:45 PM 5:00 PMSubmit Daily Report-Out to Operations Manager summarizing administrative oversight, meetings, clinical supervision, audits, and next steps 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 CenterFreedom 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 servicesDelivering Medication Assisted Treatment (MAT) using FDA-approved medications such as buprenorphine, in alignment with COMAR 10.09.80 and federal MAT standardsResponding to medical emergencies in outpatient or residential care settings and conducting diagnostic assessments as clinically indicatedManaging and documenting all services in the electronic health record (EHR) using appropriate billing codes, including:90791, 90792, 9920299205, 9921199215, H0004, H0032Coordinating care across multidisciplinary teams and external providers to ensure continuity of care and comprehensive support for physical and behavioral health needsServing 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 staffReferring clients to the Psychiatric Rehabilitation Program (PRP) when clinically appropriate and completing necessary documentation and care transition planningSupporting 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 providersEnsuring 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 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 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: 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.orgACCOUNTABLE 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 adminis