Psychiatric Mental Health Nurse Practitioner 5

Psychiatric Mental Health Nurse Practitioner

The specific statements shown in each section of this job description are not intended to be all-inclusive. Job responsibilities may be modified or expanded over time, and the company will inform the employee of any such changes.

This W-2 hourly position includes responsibilities that span across 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

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