Registered Nurse 1
hace 21 días
Baltimore
Job Description:\n\nSalary: $30 - $45 per hour DISCLOSURE - MULTI-EMPLOYER ROLE: This W-2 hourly Registered Nurse position includes responsibilities that span across the following four 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 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 40-hour per week position, with a portion of your total weekly hours 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 full-time, W-2 employee position totaling 40 hours per week, worked over five scheduled days, with hours allocated across four affiliated companies as follows:Community Wellness Psychiatric Rehabilitation Program (CWPRP):Part-time, W-2 employee approximately 20 hours per week (50% of total weekly hours)Community Wellness Outpatient Mental Health Center (CWOMHC):Part-time, W-2 employee approximately 4 hours per week (10% of total weekly hours)Lighthouse Behavioral Health Center (LHBHC):Part-time, W-2 employee approximately 10 hours per week (25% of total weekly hours)HolBrock Estates Supportive Housing Programs (HESHP):Part-time, W-2 employee approximately 6 hours per week (15% of total weekly hours) This role is one of two individuals collectively assigned to meet and exceed the COMAR-mandated leadership coverage requirements, which include:12 hours per week for a Primary and Backup Delegating Nurse at HolBrock Estates Supportive Housing Programs40 hours per week for a Psychiatric Rehabilitation Specialist and Behavioral Health Home Care Manager at Community Wellness PRP20 hours per week for a Registered Nurse at Lighthouse Behavioral Health Center Collectively, the two assigned professionals provide a total of 80 hours of leadership coverage per week, which exceeds the COMAR requirements for each organization as follows:HolBrock Estates Supportive Housing Programs (Primary and Backup Delegating Nurse Requirement):COMAR requires primary and backup coverage; the team provides 12 hours/week Exceeds requirement by 4 hours/weekCommunity Wellness PRP (Psychiatric Rehabilitation Specialist and Behavioral Health Home Care Manager Requirement):COMAR requires 40 hours/week; the team provides 40 hours/week Exceeds requirement by 0 hours/weekLighthouse Behavioral Health Center (Registered Nurse Requirement):COMAR requires 20 hours/week; the team provides 40 hours/week Exceeds requirement by 0 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: Every Monday through 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 $45.00 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.GENERAL DUTIES AND RESPONSIBILITIES:Facilitate and document coordination with external primary care providers, as clinically appropriate and with proper consent.Educate clients and, when appropriate, caregivers on the purpose, effects, and risks of prescribed medications.Participate in interdisciplinary team meetings with HR, Scheduling, Patient Access, and other departments to support clinical and administrative needs.Collaborate with external agencies or treatment providers in cases involving shared clients or complex care needs.Ensure all documentation is completed within expected timeframes using ICANotes and is coded appropriately using evaluation and management CPT codes.Contribute to quality assurance, audit readiness, and performance improvement initiatives to ensure compliance with COMAR, CARF, Medicaid, and internal standards.Provide support and education to clinical staff related to medication protocols and service delivery expectations.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:Prior experience working in a Health Home, PRP, or outpatient mental health programWorking knowledge of ICANotes, CRISP, or related EHR platformsPrior experience delivering community-based services or conducting field-based assessmentsCertified CPR Instructor or Medication Administration Trainer a plusMonitor and evaluate the effectiveness of treatment plansCollaborate with other healthcare professionals to provide comprehensive careEducate patients and their families about somatic health conditions and treatment optionsMinimum 2 years of experience in substance use, community health, or behavioral healthFamiliarity with MAT protocols and detoxification best practicesExperience working with vulnerable populations and trauma-informed care LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS:Active Registered Nurse (RN) license in Maryland in accordance with COMAR 10.27.01Minimum 2 years of experience in community mental health or behavioral health settingsStrong knowledge of chronic disease management, behavioral health conditions, and medication monitoringFamiliarity with COMAR, CARF, and Medicaid regulationsDelegating nurse certificate from an MBON approved vendor FOCUS #1: CLASSIFICATION: Part-time, W-2 employee (approximately 4 hours per week / 10% of total weekly hours) ALTERNATE TITLE(S): Clinical RN, Behavioral Health Nurse, Medication Education Nurse 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: COMPANY PHONE NUMBER: (667) 309-9920 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 309-9920 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: SUMMARY OF POSITION RESPONSIBILITIES:The Registered Nurse is a critical part of the outpatient treatment team at CWOMHC, responsible for supporting psychiatric care delivery through direct nursing services and client education. Under the supervision of a Nurse Practitioner (NPP), the RN is authorized to bill incident-to services (99211, 36415, 96372) and must ensure nursing services align with standards set forth in COMAR 10.21.20.09 and COMAR 10.20.06. The RN provides medication education, performs health screenings, documents somatic health histories, and collaborates with primary care providers to coordinate whole-person care. ESSENTIAL FUNCTIONS & RESPONSIBILITIES BILLABLE CODES (INCIDENT TO NPP):99211: Nurse visit under supervision of a Non-Physician Practitioner (e.g., NP)36415: Blood specimen collection96372: Therapeutic or prophylactic injection (subcutaneous or intramuscular) Medication Administration & Client Education (per COMAR 10.21.20.09):Administer prescribed medications (e.g., injections) and document in accordance with 96372 billing standardsConduct medication education sessions with clients and, with consent, families or designated caregiversVerify client understanding of medication directions and adherence requirementsEducate clients on:Purpose and effects of each medicationBenefits, side effects, and symptom managementNutrition and dietary implications related to the medication regimenMonitor clients for medication response and potential adverse effectsEscalate medication issues to the prescribing provider or clinical team as needed Somatic Health Review & Primary Care Coordination (per COMAR 10.20.06):Document a detailed somatic medical history upon program admission, including:Allergies, chronic medical conditions, communicable diseases, neurologic issuesPast and current medications and treatmentsRecommendations for follow-up or evaluationFacilitate referrals to primary care providers for clients without an established PCPMaintain and document ongoing coordination with primary care providers regarding somatic needs, with proper consentCommunicate any changes in the clients health status or medication plan to appropriate staff or providers Preventive Health & Clinical SupportSupport clinical team with vitals monitoring, wellness checks, and health screeningsMonitor for indicators of unmanaged medical conditions and facilitate referralsEducate staff and clients on disease prevention, chronic condition management, and wellness strategiesParticipate in interdisciplinary team meetings and client case reviewsMaintain accurate, timely, and HIPAA-compliant documentation in the EHR FOCUS #2:CLASSIFICATION: Part-time, W-2 employee (approximately 10 hours per week / 25% of total weekly hours)ALTERNATE TITLE(S): Registered Nurse Substance Use Disorder (SUD) & MAT Services, Behavioral Health Nurse, MAT Program Nurse, Detox RN 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: COMPANY PHONE NUMBER: (667) 400-6206 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: SUMMARY OF POSITION RESPONSIBILITIES: Assume the role of Backup Registered Nurse for the following licensed residential treatment facilities:Lighthouse Behavioral Health Center at 1116 E 20th StreetLighthouse Behavioral Health Center at 1114 E 20th StreetLighthouse Behavioral Health Center at 1723 Gwynns Falls Parkway The Registered Nurse (RN) at Lighthouse Behavioral Health Center is a key clinical member of the multidisciplinary team providing care to individuals with substance use disorders through Medication-Assisted Treatment (MAT) and detoxification services. The RN is responsible for conducting assessments, administering and monitoring medications (including psychotropics), providing supportive education, and ensuring documentation and care practices align with Medicare billing guidelines, PBHS Fee Schedule for Provider Type 50, and COMAR 10.47.02.08 and 10.47.02.10. This role plays an integral part in detox planning, medication safety, and care coordination for vulnerable clients in both outpatient and short-term stabilization settings. ESSENTIAL FUNCTIONS & RESPONSIBILITIES Per Medicare Claims Processing Manual, Chapter 12, Section 30.6.7 & PBHS Fee Schedule (Provider Type 50):Conduct nursing assessments (W7310) for individuals entering MAT or SUD programsMonitor administration of medications (W7330), including methadone, buprenorphine, naltrexone, and other psychotropic agentsDeliver health education and supportive services (W7350) to enhance treatment adherence, safety, and wellness outcomesDocument all services in accordance with CMS CPT guidelines and Medicaid audit standards Per COMAR 10.47.02.08 Therapeutic Program SupportMonitor medication regimens for efficacy and safetySupport clients in completing at least 36 hours of therapeutic activity per week, which may include:Weekly individual counselingGroup counselingAlcohol and drug educationCareer counselingNutrition educationFamily servicesCollaborate with clinical staff to ensure these activities are scheduled and completed Per COMAR 10.47.02.10 Detoxification ServicesConduct or participate in physical examinations under MD/NP/PA supervisionComplete initial assessments and help draft individualized treatment plansAdminister and monitor medications, including psychotropics, as prescribedMonitor and document vital signs, withdrawal symptoms, and adverse reactionsSupport and execute discharge or transfer planning in collaboration with the care teamPerform or oversee mental health-focused assessments for patients on psychotropicsApprove assessments jointly with program physicianMaintain documentation in compliance with nursing an