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:
This role is one of five individuals collectively assigned to meet and exceed the COMAR-mandated leadership coverage requirements, which include:
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:
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.
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:
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:
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:
The schedule for these dedicated clinical days include:
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
2. 🧠 Oversight of Co-Occurring Disorder Services (COMAR 10.21.20.08D)
3. 👩⚕️ Medical Director Duties (Per COMAR 10.21.20.10(2))
4. 📋 Program Director Duties (When Designated)
5. 📁 Administrative & Quality Responsibilities
FOCUS #2:
ABOUT LIGHTHOUSE BEHAVIORAL HEALTH CENTER, LLC
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.
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
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: [email protected]
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 H0004, 99202 HG, 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:
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
2. 🧠 Residential Program Compliance
3. 👩⚕️ Clinical Leadership (Clinical Director Role per COMAR 10.21.07.02(14))
4. 📋 Program Oversight (Program Director Role)
5. 🛠 Contingency Administrative Leadership (Acting Administrator)
FOCUS #3:
ABOUT FREEDOM HEALTH SYSTEMS, LLC
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 Healthcare’s 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 are—physically, emotionally, and socially—while ensuring dignity, respect, and quality in every interaction.
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
COMPANY WEBSITE: https://freedomhealthcare.biz
COMPANY PHONE NUMBER: (667) 770-6320
HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 770-6320 EXT 10
HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected]
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
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