Entitlements Case Manager 5

Job description

DISCLOSURE This role can be fulfilled either as a W-2 employee or by providing services as an independent contractor (1099). Candidates must select their preferred engagement type upon applying. The details below outline both the 1099 independent contractor and W-2 employee versions of this opportunity. Please review carefully and determine which arrangement aligns best with your professional and financial goals. Important Note: If choosing the 1099 independent contractor option, the company will assess whether all prerequisites to satisfy independent contractor classification tests have been met before finalizing engagement under this structure. How to Apply: When applying, please specify whether you wish to be considered as a W-2 employee or 1099 independent contractor. Our team will review your application and, if selecting the 1099 option, confirm that all independent contractor classification requirements are met before finalizing the engagement. DIVISION: Operations UNIT: n/a ACCOUNTABLE TO: Operations Manager 3 (and the Social Work Supervisor for Clinical Supervision) Client Service Location Expectations: Regardless of which option you choose below, the majority of assigned clients will reside in community-based group homes. Clients who do not reside in a group home may be seen in your assigned community-based office, at the company’s main office, or via telehealth—provided that either you or the client is physically located at one of these approved sites during the service. Caseload Makeup: • 11 Category A clients to be serviced at community-based meeting room 1620 Druid Hill Avenue, Baltimore, MD21217 • 14 Category A clients to be serviced at community-based meeting room 1723 Gwynns Falls Parkway, Baltimore, MD 21217 • 4 other than Category A clients to be serviced in the community or at 3310 Eastern Avenue, Baltimore, MD 21224 OPTION 1: 1099 INDEPENDENT CONTRACTOR VERSION (For individuals or businesses offering services independently) Scope of Service: Entitlements Case Manager – Independent Contractor CLASSIFICATION: Part-Time Contract Position (1099). Fee-for-service. • Lighthouse Behavioral Health Center, LLC (LBHC): Part-time, 1099 contractor – Approximately 20 hours per week (50% of total weekly hours) • Community Wellness Outpatient Mental Health Center, LLC (CWOMHC): Part-time, 1099 contractor – Approximately 20 hours per week (50% of total weekly hours) DISCLOSURE – MULTI-ENTITY CONTRACTOR ROLE: This 1099 Independent Contractor role for a Entitlements Case Manager includes responsibilities that span across the following two organizations, all operating under shared leadership: • FOCUS #1: Lighthouse Behavioral Health Center, LLC • FOCUS #2: Community Wellness Outpatient Mental Health Center, LLC • FOCUS #3: Community Wellness Psychiatric Rehabilitation Program As an independent contractor, you will maintain separate contractual agreements with each organization. You will invoice and receive compensation separately from each entity based on the time worked and services delivered for their respective programs. This means you are not an employee of any of the entities and are instead engaged as a self-employed contractor for each. Though the contactor is paid on a fee for service basis and not an hourly basis, the services will require approximately 40 hours per week in to render assigned services as scheduled over 5 days, with an estimated one-half of the services rendered allocated to each organization. While day-to-day scheduling and care coordination may be managed collaboratively to support continuity across programs, each organization retains responsibility for its own scope of work, compliance requirements, and payment processes. As a 1099 contractor, you are responsible for your own taxes, benefits, and liability coverage, and you must adhere to all contractual terms and professional licensing requirements relevant to each organization. Overview Generally, assigned clients will reside in community based group homes. Assigned clients who do not reside in group homes may receive services in your assigned community based office, at the company’s main office, or via telehealth if you or the client are in one of these locations. We are seeking a qualified and licensed Entitlements Case Manager to provide case management services on an independent contractor basis. The contractor will schedule and facilitate group and individual case management sessions, conduct case management assessments, and complete client documentation within the designated service period. Examples of Entitlement Services Provided: The Entitlements Case Manager assists clients in applying for and maintaining eligibility for all benefits they may be entitled to, including but not limited to: Identification & Legal Documents • Birth certificate replacement or first-time applications • State-issued photo ID or driver’s license • Social Security card replacement • Name change or legal identity correction support • Assistance with immigration/citizenship paperwork (as applicable) Income & Financial Support • Temporary Cash Assistance (TCA) • Supplemental Security Income (SSI) • Social Security Disability Insurance (SSDI) • Supplemental Security Income for Children (SSI-Child) • Veterans benefits (VA pension, disability) • Emergency assistance or general relief applications Healthcare Access • Medicaid enrollment or re-certification • Medicare application assistance • Medicaid transportation services enrollment • Assistance selecting or managing a managed care organization (MCO) • Medical Assistance for Families (MAF) • Applying for disability-based Medicaid under the Aged, Blind, and Disabled (ABD) category Nutrition & Food Stability • Supplemental Nutrition Assistance Program (SNAP / Food Stamps) • Women, Infants, and Children (WIC) Program assistance (if eligible) • Emergency food pantry referrals Housing & Shelter • Coordinated Entry and housing waitlist applications • Public Housing or Section 8 Voucher applications • Emergency rental assistance • Shelter or transitional housing referrals • Housing Choice Voucher Portability support • Disability-based housing supports (e.g., NED vouchers, supportive housing programs) Employment & Vocational Support • Maryland Workforce Exchange (MWE) registration • Referrals to job readiness or vocational rehabilitation programs • Unemployment insurance application assistance Education Access • FAFSA support for eligible young adults • GED program referrals and enrollment support • Tuition waivers for foster youth or returning citizens Other Stabilizing Resources • Free or discounted phone programs (e.g., Lifeline, ACP) • Transportation assistance (e.g., bus passes, mobility applications) • Utility assistance programs (e.g., LIHEAP, MEAP) • Childcare subsidy applications • Legal aid or expungement referrals • Guardianship paperwork support or rep payee coordination • Assistance navigating MD THINK or local DSS systems DIVISION: Operations CLASSIFICATION: Part-Time (W2). Fee-for-service. • Lighthouse Behavioral Health Center, LLC (LBHC): Part-time, W-2 employee – Approximately 20 hours per week (50% of total weekly hours) WORK SCHEDULE: During regular business hours Monday – Friday, 8:00 AM – 5:00 PM COMPENSATION RANGE: Ranges between $50,000 per year to $100,000 per year paid on a fee-for-service basis for servicing assigned clients as scheduled. Commensurate based on credentials and experience. In addition to fee for service 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: Up to 10% of the time (interoffice and site-based) GENERAL DUTIES AND RESPONSIBILITIES: • Assist supervisor with work-related requests. • Collaborate with and serve as program POC for external treatment providers and outside agencies as needed. • Responsible for following regulations of COMAR, CARF, any other regulatory body, and company policies/ procedures related to service delivery and documentation and co-facilitating orientation of all new hires to these as well. • Support the maintenance of a safe environment by participating in training and drills as requested. • Maintain confidentiality of records relating to client’s treatment. • Participate in external and internal audits/surveys (CARF/CSA/OHCQ) as directed by the supervisor. • Participates in quality assurance and performance improvement plans by completing periodic audits or other activities to ensure regulatory compliance and/or improve service delivery. • Ensure the medical director or clinical supervisor reviews and co-signs documents as required. PHYSICAL DEMANDS: Regularly walk, stand, or stoop; occasionally lift, carry, push, pull, or otherwise move objects weighing up to 10 pounds; and regularly drives a motor vehicle. WORKING CONDITIONS: Work is performed in an office, Work exposes incumbent to contagious or infectious diseases; Work may expose incumbent to dangerous and volatile situations; which could result in bodily injury. CLASSIFICATION: Part time, W-2 employee – approximately 20 hours per week (50% of total weekly hours) ACCOUNTABLE TO: Operations Manager 2 and Operations Manager 3 (and the Social Work Supervisor for Clinical Supervision) ACCOUNTABLE FOR: The employee accountable for assisting clients in applying for all benefits for which they are entitled, maintaining accurate documentation, and coordinating services in alignment with program goals, regulatory requirements, and scheduling protocols. FOCUS #1: The company will credential the Entitlements Case Manager to provide the above-listed services with a focus on outpatient substance use disorder case management. These services will be delivered under the Entitlements Case Manager’s independent contractor agreement with Lighthouse Behavioral Health Center, LLC as outlined below. COMPANY WEBSITE: COMPANY: Lighthouse Behavioral Health Center, LLC COMPANY PHONE NUMBER: (667) 400-6206 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: COMPANY: Lighthouse Behavioral Health Center ABOUT LIGHTHOUSE BEHAVIORAL HEALTH CENTER: Lighthouse Behavioral Health Center is a community-based behavioral health organization dedicated to providing high-quality, person-centered care to individuals and families affected by mental health and substance use challenges. We offer a comprehensive range of services, including outpatient therapy, psychiatric care, intensive in-home services, Medication Assisted Treatment (MAT), and case management. Our team is committed to delivering trauma-informed, culturally responsive, and evidence-based care that promotes healing, empowerment, and long-term wellness. With a strong focus on accessibility and compassion, Lighthouse Behavioral Health Center serves clients across all ages and backgrounds—helping them navigate recovery, build resilience, and achieve greater stability in their lives. FOCUS #2: The company will credential the Entitlements Case Manager to provide the above-listed services with a focus on outpatient mental health disorder case management. These services will be delivered under the Entitlements Case Manager’s independent contractor agreement with Community Wellness Outpatient Mental Health Center, as outlined below. ALTERNATE TITLE(S): Entitlements Case Manager COMPANY WEBSITE: COMPANY PHONE NUMBER: (667) 309-9920 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 309-9920 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: COMPANY: Community Wellness Outpatient Mental Health Center ABOUT 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 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. Service Expectations & Deliverables The contractor will provide structured co-occurring case management services for assigned clients in alignment with program needs, including: • Facilitate individual and group case management and intake orientation sessions as scheduled. • Offer make-up sessions for missed appointments. • Allocate time for documentation and progress notes in ICANotes before the end of the service day. • Address client-specific needs within the scheduled timeframe. • Coordinate with the Program Coordinator to ensure client care continuity. • Follow COMAR, licensing, and ethical standards. • Use the approved case management curriculum or comparable best-practice approaches. • Apply trauma-informed, person-centered practices throughout all client interactions. • Complete initial assessments, 6-month reassessments, and monthly plan reviews. • Maintain accurate documentation per CARF, Medicaid, and COMAR requirements. • Coordinate with internal staff and external providers (PCPs, housing, probation, substance use programs). • Address social determinants of health and provide crisis/safety interventions as needed. Service Schedule & Session Structure • Provide services only within your credentialed scope. • Services must be on-site unless telehealth is approved (you must be on-site). • Schedule sessions at least 7 days in advance, aligning with client needs and program guidelines. Documentation & Compliance • Submit invoices detailing dates, locations, and services performed. • Adhere to co-occurring case management fidelity guidelines. • Participate in audits, supervision, and fidelity reviews as requested. • Track outcomes and satisfaction for quality assurance. • Attend required trainings/CEUs to maintain licensure. • Comply with company policies and regulatory agencies (COMAR, CARF, CSA). • Complete all documentation in ICANotes daily, including: o SUD individual session notes (H0004, 15-min units) o MH individual session notes (90832, 90834) o MH group notes (90853) o SUD group notes (H0005) FOCUS #3: COMPANY: Community Wellness Psychiatric Rehabilitation Program The Community Wellness Psychiatric Rehabilitation Program (PRP) is a core service of Community Wellness Outpatient Mental Health Center, designed to support individuals living with serious mental illness in achieving stability, independence, and improved quality of life. Our PRP provides structured, community-based support focused on developing life skills, managing symptoms, and promoting personal recovery goals. Through individualized service planning, case management, health home coordination, and peer support, the PRP helps clients navigate housing, employment, education, and health care access. Services are person-centered, trauma-informed, and culturally responsive, with an emphasis on whole-person care and long-term wellness. The program serves both youth and adults, working in close collaboration with clinical providers, families, and community partners. Engagement Type: • Status: Independent Contractor (1099) • Work Basis: Fee-for-service, as-needed/when requested; no guaranteed hours • Typical Service Window: Monday–Friday, 8:00 AM–5:00 PM (as assigned) • Compensation Range: $30.00–$45.00 per hour (credentials/experience & budget) • Benefits: None (independent contractor role) Scope of Services (when activated) A) Health Home Care Manager (HHCM) – W1760 / W1761 • Coordinate medical, behavioral, and community services; track screenings/labs/hospital encounters (e.g., via CRISP). • Provide health education; monitor prevention/wellness initiatives and care-plan goals. • Document timely in ICANotes and meet W1760/W1761 billing rules and audit standards. B) Psychiatric Rehabilitation Specialist (PRS) – H0002 • Complete Rehab Assessments; develop/review IRPs/ITRPs; oversee skills and recovery programming. • Coach direct care staff on plan fidelity; document to H0002 billing and COMAR standards. • Perform only tasks within your license/scope of practice. Key Responsibilities • Step in as backup coverage upon CWPRP request. • Meet documentation timelines and quality requirements. • Support audit readiness and QI efforts; uphold HIPAA and confidentiality. • Collaborate with CWPRP staff and external partners as needed. Deliverables • Signed documentation (notes, assessments, IRP/ITRP updates, coordination records) within 24–48 hours of service. • Accurate coding (W1760, W1761, H0002) and complete billing support artifacts. • Brief coverage log/report for the assignment period, if requested. Qualifications • Education: Bachelor’s in psych/social work/counseling/nursing or related (Master’s preferred). • Licensure/Certification (one or more): LCADC, LGADC, CAC-AD, CSCAD, ADT, LCPC, LGPC, LCSW-C, LCSW, LMSW, LBSW, LCMFT, LGMFT, Licensed Psychologist, Registered Psychology Associate, CRNP-PMH, APRN-PMH, CNS-PMH, or eligible student intern. • Experience: 2+ years in behavioral health/PRP/Health Home/rehab/community services. • Skills: ICANotes/CRISP familiarity; strong documentation; trauma-informed, culturally responsive practice; knowledge of COMAR/Medicaid. Reporting & Coordination • Receives assignments/coordination from the CWPRP Operations Manager or designee (coordination does not create an employment relationship). Working Conditions • Work may be on-site, community-based, or remote depending on assignment; occasional travel possible. • Contractor supplies and secures own equipment; maintains HIPAA compliance at all times. Insurance Requirements (Contractor-Carried) Contractor must maintain, at Contractor’s expense, the following coverages and furnish Certificates of Insurance (COIs) before activation and upon renewal: 1. Professional Liability (Malpractice): Minimum $1,000,000 per claim / $3,000,000 aggregate (claims-made acceptable). If claims-made, provide 2-year tail coverage post-engagement or continuous prior-acts coverage. 2. General Liability: Minimum $1,000,000 per occurrence / $2,000,000 aggregate. 3. Automobile Liability: If driving on assignment, at least $300,000 combined single limit (or state minimums if higher). 4. Cyber / Privacy Liability: Recommended $250,000+ for PHI/PII incidents (may be required for remote/EHR access). 5. Workers’ Compensation/Disability: As required by law for Contractor’s own business. COI Requirements: • Certificate Holder: Community Wellness Psychiatric Rehabilitation Program (CWPRP). • Additional Insured: CWPRP on GL (and Auto, if applicable) with Primary & Non-Contributory wording and Waiver of Subrogation where available. • Notice of Cancellation: 30 days’ notice requested. • CWPRP may suspend assignments for lapsed insurance. Invoicing & Payment Requirements A) Eligibility to Invoice • Invoice only for authorized assignments actually performed and fully documented in ICANotes (signed/locked). • No billing for admin time, travel, or training unless pre-authorized in writing. B) Invoice Contents (required) Include a clean, legible invoice with: • Contractor legal name/entity, remit address, email/phone, and EIN/SSN (W-9 on file). • Unique invoice # and invoice date. • Service dates and total hours/units by billing code (W1760, W1761, H0002). • Hourly rate and line-item extensions; total amount due. • Assignment/location (site or telehealth), and client identifiers using non-PHI internal IDs (no names/DOB/SSN). • Reference to ICANotes encounter IDs or attached time/units export (if requested). • Attestation: “I attest services were rendered as authorized, documented in ICANotes, and comply with CWPRP standards and applicable regulations.” C) Submission & Timing • Cadence: Weekly or bi-weekly, as directed during onboarding (submit within 5 business days after period end). • Where to send: Submit per onboarding instructions to CWPRP Accounts Payable (cc: Operations Manager). • Terms: Standard Net 30 from receipt of a complete, undisputed invoice. (CWPRP may specify Net 15/20 in writing.) D) Disputes, Corrections, and Holds • CWPRP will notify Contractor of any invoice/documentation issues; Contractor must correct within 5 business days (or sooner if required). • Non-conforming or undocumented services will not be paid until corrected and verified. • Duplicate billing, unsupported units, or late documentation may be reduced/denied. E) Reimbursable Expenses (rare) • Not standard. Only reimbursed if pre-approved in writing with receipts; mileage or per-diem only if expressly authorized (otherwise deemed included in rate). F) Payment Method • ACH preferred (provide banking details); check available if set up is not possible. Compliance & Security (Summary) • Adhere to COMAR 10.21.21.10 (PRS), COMAR 10.09.33.06 & MDH Health Home Manual (HHCM), Medicaid/CARF, HIPAA, and CWPRP policies. • Sign CWPRP Business Associate Agreement (BAA) before system access. • Use encrypted devices; no PHI on unencrypted storage or unsecured networks; return/destroy CWPRP data at engagement end. Contractor Acknowledgment This SOW defines the services, deliverables, insurance, and invoicing standards for the 1099 Backup PRS/HHCM role at CWPRP. Engagements are as-needed and contingent on CWPRP requests. Qualifications & Licensing Must hold a valid Maryland license or certification: LCADC, LGADC, CAC-AD, CSCAD, ADT, LCPC, LGPC, LCSW-C, LCSW, LMSW, LBSW, LCMFT, LGMFT, Psychologist, Registered Psychology Associate, CRNP-PMH, APRN-PMH, CNS-PMH, or eligible student intern in one of these disciplines. Compensation, Invoicing & Payment • Paid per service rendered (session, group, or client contact). • Submit weekly invoices (Sunday–Saturday) by Saturday midnight for the next check run. • Late invoices may be processed in the next cycle. • Contractors are responsible for taxes, insurance, and licensing costs. Independent Contractor Status • Contractors have autonomy over how services are provided within program standards. • Not eligible for employee benefits (health insurance, paid leave, unemployment, etc.). • Must maintain professional liability insurance and provide proof upon request. Proposal Submission Process Proposals are accepted on a rolling basis. Submit responses to all required fields below. Include: 1. Contractor Information – Full name/business name, contact details, and license (if applicable). 2. Qualifications & Licensing – Maryland license per above list. 3. Experience & Approach – Relevant experience and documentation proficiency (ICANotes preferred). 4. Rate & Compensation – Proposed per-service rate and related costs. 5. Availability – Days/times available for in-person sessions. Proposal Evaluation Proposals are scored (total 100 points): • Qualifications & Licensure – 30% • Relevant Experience – 25% • Rate Competitiveness – 20% • Availability & Alignment – 15% • Completeness & Professionalism – 10% Top candidates will be contacted for discussion or contract negotiation. Questions: Contact the Contract Administrator at (667) 400-6206 EXT 10. OPTION 2: W-2 EMPLOYMENT VERSION (For those seeking a traditional employment arrangement) DISCLOSURE - MULTI-EMPLOYER ROLE: This W-2 fee-for-service Co-Occurring Disorder Counselor position includes responsibilities that span across the following three organizations, all under shared leadership: FOCUS #1 Lighthouse Behavioral Health Center, LLC FOCUS #2 Community Wellness Outpatient Mental Health Center, LLC FOCUS #3 Community Wellness Psychiatric Rehabilitation Program 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 two companies, with service documents, responsibilities, and compliance obligations tracked separately for each. Though the employee is paid on a fee for service basis and not an hourly basis, the services will require approximately 40 hours per week in to render assigned services as scheduled over 5 days, with an estimated one-half of the services rendered allocated to each organization. While day-to-da