Entitlements Case Manager 4

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-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 UNIT: N/A 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) •    Community Wellness Outpatient Mental Health Center, LLC (CWOMHC): Part-time, W-2 employee – Approximately 20 hours per week (50% of total weekly hours) ACCOUNTABLE TO: Operations Manager 2 BENEFITS PACKAGE: Paid time off; health, dental, and vision insurance reimbursement; professional development support; retirement plan; supplemental disability insurance WORK SCHEDULE: 4–5 days per week, typically Monday–Friday, 8:00 AM–5:00 PM COMPENSATION: $50,000–$100,000 annually (fee-for-service, commensurate with experience and credentials) TRAVEL: Up to 10% (interoffice and site-based)

WORK CONDITIONS

•    Community-based or hybrid setting with in-person duties as needed •    Possible exposure to emotionally charged or crisis situations •    Collaborative, team-oriented environment

SCHEDULED DUTIES & RESPONSIBILITIES

Entitlement Services & Client Advocacy

•    Help clients apply for and maintain benefits such as Medicaid, SNAP, SSI/SSDI, TCA, and housing support. •    Track and follow up on applications to ensure timely completion. •    Educate clients on maintaining benefits and completing recertifications. •    Liaise with agencies (e.g., DSS, SSA, housing authorities) to resolve issues. •    Refer clients to legal aid, disability evaluations, and other support services. •    Maintain accurate benefit records in the EHR. •    Facilitate intake, case management, and psychoeducation groups as scheduled. Clinical Coordination & Support

•    Collaborate with clinical staff to address client needs holistically. •    Provide advocacy to reduce barriers related to housing, transportation, food, and employment. •    Participate in treatment team meetings and coordinated care planning. Documentation & Compliance

•    Maintain timely, accurate documentation in the EHR per Medicaid, COMAR, and CARF standards. •    Track client outcomes and service progress. •    Submit required reports and progress notes on schedule. Caseload & Case Management

•    Manage assigned caseloads in community-based offices, group homes, or via approved telehealth. •    Conduct regular check-ins and assist with emergency needs or crisis coordination. Quality Assurance & Professional Development

•    Follow ethical and model fidelity standards. •    Participate in audits, supervision, and quality reviews. •    Attend required trainings and CEUs to maintain licensure and proficiency. UNSCHEDULED DUTIES & RESPONSIBILITIES

•    Support supervisor with work-related tasks and serve as program POC as needed. •    Comply with all COMAR, CARF, and company policies; assist in new hire orientation as assigned. •    Maintain client confidentiality and safety; participate in required trainings and drills. •    Contribute to internal/external audits and quality improvement activities. •    Ensure documents are reviewed/co-signed by the Medical Director or Clinical Supervisor when required. PHYSICAL DEMANDS & WORKING CONDITIONS

•    Regular walking, standing, and light lifting (up to 10 lbs.); must drive as needed. •    Work in office or community settings, with occasional exposure to infectious diseases or volatile situations. COMPETENCIES & SKILLS

•    1–2 years’ experience with dual-diagnosis or high-acuity populations preferred •    Knowledge of Medicaid documentation, CARF standards, and trauma-informed care •    Strong understanding of mental health and substance use disorders (DSM-5-TR) •    Skilled in creating measurable, recovery-oriented goals •    Excellent documentation, time management, and communication skills •    Ability to work both independently and collaboratively •    Commitment to equity, inclusion, and culturally responsive care

EDUCATION / TRAINING / QUALIFICATIONS

Education:

Bachelor’s degree in Psychology, Social Work, Counseling, or related field (Master’s preferred). Licensure/Certification (Maryland): 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. 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 services. These services will be delivered under the Entitlements Case Manager’s independent contractor agreement with Lighthouse Behavioral Health Center, as outlined below. COMPANY: Lighthouse Behavioral Health Center

GENERAL DUTIES AND RESPONSIBILITIES:

•    Provide backup coverage for primary PRS/HHCM staff as requested. •    Document all services accurately and within required timeframes (24–48 hours). •    Participate in interdisciplinary meetings to support client care and program operations. •    Support audit readiness, quality improvement efforts, and compliance initiatives. •    Maintain professional conduct consistent with CWPRP policies, HIPAA, and confidentiality standards. PHYSICAL DEMANDS:

•    Regularly required to walk, stand, or stoop. •    Occasionally required to lift up to 25 pounds. •    May need to travel locally to provider offices or community agencies. 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, fee for service W-2 employee – as needed basis (no guaranteed 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. ALTERNATE TITLE(S): Case Manager, Entitlements Case Manager COMPANY WEBSITE: https://cwprp.org 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. COMPANY PHONE NUMBER: (443) 478-4304 HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (443) 478-4304 EXT 10 HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: hr@cwprp.org

SUMMARY OF POSITION RESPONSIBILITIES:

The Backup Psychiatric Rehabilitation Specialist / Health Home Care Manager (PRS/HHCM) provides as-needed coverage to ensure the Community Wellness Psychiatric Rehabilitation Program (CWPRP) maintains compliance with COMAR, Medicaid, and accreditation standards. This position is activated only at the request of the company, typically to cover vacancies, absences, or times of increased demand. The role supports both rehabilitation services and integrated health coordination for clients with serious mental illness and co-occurring conditions. SCHEDULED DUTIES & RESPONSIBILITIES:

Essential Duties and Responsibilities

•    Health Home Care Manager (HHCM) – W1760/W1761 •    Coordinate medical, behavioral, and community-based care for assigned participants. •    Track and follow up on screenings, labs, and hospital admissions/discharges. •    Provide health education to clients and caregivers on chronic disease and wellness topics. •    Maintain documentation in ICANotes in compliance with billing and audit standards. Psychiatric Rehabilitation Specialist (PRS) – H0002 •    Conduct Rehabilitation Assessments and develop or review Individual Rehabilitation Plans (IRPs) and Individual Treatment and Rehabilitation Plans (ITRPs). •    Oversee life skills development, rehabilitation programming, and recovery support. •    Train and support direct care staff in implementing client-specific rehabilitation goals. •    Ensure compliance with COMAR 10.21.21.10 and Medicaid H0002 billing standards. Experience

•    Minimum 2 years of experience in behavioral health, psychiatric rehabilitation, Health Home coordination, or community-based case management. Knowledge, Skills, and Abilities •    Familiarity with ICANotes and CRISP or other EHR/HIE platforms. •    Strong documentation and organizational skills. •    Ability to work with diverse and vulnerable populations. •    Trauma-informed and culturally responsive practice. •    Knowledge of Medicaid, COMAR, and CARF standards. LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS:

Education:

•    Bachelor’s degree in psychology, social work, counseling, nursing, or a related field required. •    Master’s degree preferred. Licensure/Certification:

To be eligible for this contract, the contractor must hold valid Maryland licensure, including one of the following: •    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 •    Student intern in an eligible discipline may be considered.