Counseling Supervisor

Enterprise Mangement Solutions Inc•Baltimore, MD

5d•$28 - $45

About The Position

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. Company will inform the personnel member when changes in the respective job description are made. MULTI-EMPLOYER ROLE This W-2 hourly Operations Manager 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 40-hour per week position, with a portion of the the 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. DIVISION: Operations ACCOUNTABLE TO: Chief Operations Officer (CEO in the absence of Chief Operations Officer) CLASSIFICATION This is a full-time, W-2 employee position totaling 40 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 4 hours per week (10% of total weekly hours) Community Wellness Outpatient Mental Health Center (CWOMHC): Part-time, W-2 employee — approximately 18 hours per week (45% of total weekly hours) Lighthouse Behavioral Health Center (LHBHC): Part-time, W-2 employee — approximately 18 hours per week (45% of total weekly hours) WORK SCHEDULE (Monday – Friday, 8:00 AM – 5:00 PM): 8:00 AM – 8:10 AM – Team check-in and daily planning 8:10 AM – 8:40 AM – Participate in Operations Division leadership meeting 8:40 AM – 11:40 AM – Conduct six (6) 30-minute clinical supervision sessions (or use time for candidate interviews or operations support) 11:40 AM – 12:20 PM – Lunch 12:20 PM – 1:20 PM – Weekly standing meetings with COO, HR, or finance (based on day) 1:20 PM – 2:50 PM – Conduct six (6) 15-minute client observations for supervisee quality monitoring 2:50 PM – 4:50 PM – Conduct four (4) 30-minute client-facing sessions (H0001/90791 or follow-up) with real-time ICANotes documentation 4:50 PM – 5:00 PM – Team wrap-up and end-of-day troubleshooting COMPENSATION RANGE Compensation for this position ranges from $28.00 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 Opportunities ANTICIPATED TRAVEL: 10% of the time. There is no additional compensation for travel. PHYSICAL DEMANDS Walking and standing during rounds, site visits, and staff monitoring Prolonged desk work for documentation review and EHR navigation Occasional lifting of materials or supplies (up to 25 lbs) WORKING CONDITIONS Behavioral health clinic and residential group home environments Fast-paced and compliance-driven work setting Must be available for scheduled on-call coverage and weekend responsiveness COMPETENCIES AND SKILLS Experience overseeing both residential and outpatient services Familiarity with ICANotes or similar EHR platforms Training in trauma-informed care, motivational interviewing, and harm reduction Minimum 5 years of experience in clinical and operational leadership in behavioral health settings Familiarity with COMAR 10.47 regulations, Medicaid billing, and accreditation standards (CARF, OHCQ, CSA) Strong leadership, communication, and documentation review skills Board-approved Clinical Supervisor credential Experience with Medicaid documentation and behavioral health billing Familiarity with CARF or Joint Commission accreditation standards Experience supervising clinical interns and pre-licensed professionals LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS Master’s degree in counseling, social work, psychology, or related behavioral health discipline Current Maryland licensure as LCPC and is approved to supervise, or equivalent Board-approved clinical supervisor status under MD Board of Professional Counselors and Therapists

Requirements

Experience overseeing both residential and outpatient services
Familiarity with ICANotes or similar EHR platforms
Training in trauma-informed care, motivational interviewing, and harm reduction
Minimum 5 years of experience in clinical and operational leadership in behavioral health settings
Familiarity with COMAR 10.47 regulations, Medicaid billing, and accreditation standards (CARF, OHCQ, CSA)
Strong leadership, communication, and documentation review skills
Board-approved Clinical Supervisor credential
Experience with Medicaid documentation and behavioral health billing
Familiarity with CARF or Joint Commission accreditation standards
Experience supervising clinical interns and pre-licensed professionals
Master’s degree in counseling, social work, psychology, or related behavioral health discipline
Current Maryland licensure as LCPC and is approved to supervise, or equivalent
Board-approved clinical supervisor status under MD Board of Professional Counselors and Therapists

Responsibilities

Administrative oversight and clinical supervision of the outpatient mental health center (OMHC), ensuring compliance with COMAR, maintaining documentation standards, overseeing multidisciplinary staff, and directing service delivery
The Program Director & Clinical Supervisor for CWOMHC provides executive oversight of clinical operations, administrative systems, staff supervision, and regulatory compliance for the organization’s outpatient mental health clinic (OMHC).
Ensure that clients receive clinically appropriate, timely, and coordinated mental health services while maintaining compliance with Maryland state regulations, audit standards, and ethical practices.
Provide clinical oversight and supervision to licensed and unlicensed clinical staff
Review and co-sign treatment plans, progress notes, assessments, and documentation as required
Provide regular supervision sessions in accordance with board and payer guidelines
Approve clinical content for audits and Medicaid billing
Support clinician performance development, compliance, and quality assurance
Manage day-to-day operations of the outpatient mental health center
Supervise front desk, intake, scheduling, and patient access functions
Ensure compliance with appointment timeliness, client assignment, and documentation tracking
Facilitate weekly staff meetings and department-specific huddles
Provide weekly/biweekly clinical supervision to LMSWs, LGPCs, and interns
Guide staff in assessment, diagnostic formulation, treatment planning, and crisis intervention
Monitor service documentation for 90791, 99214, 90837, 90832, and H0032 codes
Ensure that all documentation meets Medicaid and COMAR audit readiness standards
Train and mentor clinicians in real-time documentation and integrated service delivery
Ensure all regulatory requirements are met for documentation, licensure, supervision, and patient safety
Monitor and audit treatment plans, EHR entries, and clinical workflows
Collaborate with billing, compliance, and HR to maintain records for state inspections
Prepare for CARF, OHCQ, and Medicaid audits and lead corrective action plans
Coordinate closely with psychiatric, nursing, care coordination, and peer support teams
Participate in treatment team meetings and clinical case reviews
Assist with integration of behavioral health and primary care efforts with partnering organizations
Troubleshoot staff or client-related issues as they arise
Support recruitment and onboarding of new staff and clinical interns
Attend community stakeholder or provider network meetings as a representative of CWOMHC
Provide leadership during internal or external crises impacting clinical care
The overall clinical and administrative management of Lighthouse Behavioral Health Center’s licensed and residential behavioral health programs, including regulatory compliance, staff supervision, clinical quality, client outcomes, and fiscal accountability
Supervising clinical and administrative teams, ensuring compliance with COMAR Title 10.47 (Substance Use Treatment Services), overseeing daily operations, and ensuring that client services are delivered effectively, ethically, and in alignment with State regulations and accreditation standards.
Oversee delivery of clinical services, including documentation and direct care supervision
Provide clinical supervision to multidisciplinary staff including licensed counselors, interns, and support staff
Ensure all services are delivered in compliance with COMAR and funding requirements
Oversee staffing plans, shift coverage, and 24/7 residential operations
Ensure staff are trained in CPR, crisis intervention, and behavioral support strategies
Serve as the point of contact for licensing entities, MCOs, and accrediting bodies
Maintain documentation readiness for OHCQ, CSA, CARF, and internal audits
Provide oversight and leadership for all clinical programming and therapeutic interventions
Approve treatment plans, assessments, and discharge planning activities
Monitor utilization review and case assignments
Ensure trauma-informed, culturally responsive care delivery
Guide implementation of evidence-based and recovery-oriented practices
Supervise daily clinical activities, including therapy sessions, group programming, and treatment planning
Review and co-sign documentation as required for unlicensed or provisionally licensed staff
Lead clinical case reviews and staff development huddles
Ensure service codes such as H0024, H0038, W7330, W7350, 99214, and H0001 are used appropriately and documented accurately
Oversee facility readiness, compliance with safety protocols, and emergency preparedness
Coordinate staffing schedules to ensure round-the-clock supervision at residential sites
Manage residential census and ensure timely service initiation for new admissions
Lead weekly operations and quality assurance meetings
Conduct staff evaluations, manage corrective action plans, and oversee onboarding
Train and supervise Psychiatric Mental Health Nurse Practitioners, Addictions Counselors, Co-Occurring Disorder Counselors, Registered Peer Supervisors, Social Work Supervisors
Maintain clinical supervision logs and support licensure documentation for staff under supervision
Ensure programs are prepared for all external audits and licensing surveys
Monitor incident reporting systems, chart audit logs, and QI dashboards
Coordinate with billing, HR, and compliance to maintain documentation integrity and performance outcomes
Respond to crisis events, staff call-outs, or urgent facility needs
Represent the program in stakeholder meetings or regulatory reviews
Support expansion or restructuring efforts in collaboration with the executive team
Serve as administrative on-call for after-hours decision-making and staffing support
Oversight of daily clinic operations, staffing, compliance, documentation, scheduling, and coordination of patient services at the Freestanding General Clinic
Overseeing the administrative and operational functions of the Freestanding General Clinic.
Oversee daily clinic functions including patient flow, scheduling, and front-desk operations
Ensure appropriate staffing coverage across all clinic hours
Monitor clinical documentation for services such as 99214, 99396, immunizations, and diagnostic procedures
Maintain timely communication between front office, clinical staff, and medical providers
Support the ordering, stocking, and inventory management of medical supplies
Ensure patients are scheduled for timely wellness exams, follow-ups, labs, and care coordination visits
Monitor patient registration, intake, and billing workflows for accuracy and efficiency
Ensure compliance with HIPAA, OSHA, COMAR, and public health reporting requirements
Coordinate with credentialing staff to maintain up-to-date licensure and insurance paneling for all providers
Track clinic productivity metrics such as visit volume, patient retention, and no-show rates
Run reports and dashboards related to documentation timeliness, coding accuracy, and outstanding orders
Prepare for and support external audits, quality reviews, and licensing inspections
Maintain readiness for survey visits and ensure all records and logs are up to date
Supervise Medical Receptionist and Family Nurse Practitioner
Coordinate orientation and ongoing training for new hires
Support employee performance improvement plans and manage HR communication in collaboration with leadership
Facilitate weekly team huddles, monthly all-staff meetings, and QI reviews
Troubleshoot provider scheduling issues or staff call-outs
Assist with clinic policy development and SOP updates
Represent the clinic in community health collaborations or MCO meetings
Support billing staff in resolving documentation or authorization issues

Benefits

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

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