Certified Peer Recovery Specialist 11

DISCLOSURES

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 Certified Peer Recovery Specialist position includes responsibilities that span across the following three affiliated organizations, all under shared leadership:

          FOCUS #1 Lighthouse Behavioral Health Center, LLC

          FOCUS #2 Community Wellness Psychiatric Rehabilitation Program

          FOCUS #3 Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC

          FOCUS #4 Lighthouse Behavioral Health Center at 1116 E 20th Street, LLC

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 hours, responsibilities, and compliance obligations tracked separately for each.

This role is structured as an up to 40-hour per week position, with approximately 10 of the total weekly hours allocated to Lighthouse Behavioral Health Center, LLC, Community Wellness Psychiatric Rehabilitation Program,  Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC and  Lighthouse Behavioral Health Center at 1116 E 20th Street, LLC. 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.

Client Service Location Expectations

This position is based on-site at the supportive housing program located at 1114 and 1116 E 20th Street, Baltimore, MD 21218. All services are to be delivered in person at this location. The staff member is expected to be present on-site during scheduled shifts, provide support within the residence, and ensure documentation and responsibilities are completed in alignment with program protocols. Remote work or off-site service delivery is not applicable for this role.

Caseload Makeup

The assigned caseload for this position consists of eighteen (16) Category A clients who reside in the community and may be serviced at 3310 Eastern Avenue, Baltimore, MD, throughout the community, or in the community meeting room of 1114 and 1116 E 20th Street location. 

DIVISION: Operations

CLASSIFICATION

This is a full-time, W-2 employee position totaling 40 hours per week, with hours allocated across two affiliated organizations as follows:

Community Wellness Psychiatric Rehabilitation Program (CWPRP):

Part-time, W-2 employee — approximately 10 hours per week (25% of total weekly hours)

Lighthouse Behavioral Health Center (LHBHC):

Part-time, W-2 employee — approximately 10 hours per week (25% of total weekly hours)

Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC :

Part-time, W-2 employee — approximately 10 hours per week (25% of total weekly hours)

Lighthouse Behavioral Health Center 1116 E 20th Street, LLC :

Part-time, W-2 employee — approximately 10 hours per week (25% of total weekly hours)

While each assignment is classified as part-time under its respective entity, the combined total constitutes a full-time, 40-hour per week role across the organization network. This structure ensures shared staffing efficiency and cross-program collaboration in alignment with operational and regulatory needs.

WORK SCHEDULE: Every Monday, Tuesday, Wednesday, Thursday and Fridays of each week from 8:00 AM to 5:00 PM each day.
 
COMPENSATION RANGE
Compensation for this position ranges from $25.00 to $15.00 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.
 
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.

PHYSICAL DEMANDS

Frequent standing, walking, and observation during shift

Lifting or assisting residents (up to 40 lbs), including during transfers or emergencies

Use of PPE and documentation systems

WORKING CONDITIONS

Licensed residential behavioral health facility

High interaction with residents who may experience mental health or substance use crises

Multi-disciplinary, compliance-driven, peer-supported environment

FOCUS #1:

ABOUT LIGHTHOUSE BEHAVIORAL HEALTH CENTER

Lighthouse Behavioral Health Center, LLC 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.

 
CLASSIFICATION: Part-time, W-2 employee — approximately 10 hours per week (25% of total weekly hours)

ACCOUNTABLE TO:  Registered Peer Supervisor 

ACCOUNTABLE FOR:  Providing peer support, medication administration, shift leadership, and residential care in a licensed residential treatment facility in accordance with COMAR and ASAM regulations

ALTERNATE TITLE(S): Certified Peer Recovery Specialist

COMPANY WEBSITE: https://lighthousebhc.org/

COMPANY PHONE NUMBER: 

HUMAN RESOURCES DEPARTMENT PHONE NUMBER:  (667) 400-6206 EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected]  

SUMMARY OF POSITION RESPONSIBILITIES

The Certified Peer Recovery Specialist provides recovery-based support, medication administration, and direct care to residents in a licensed residential treatment program. This role combines peer recovery, Certified Medication Technician (CMT), and House Manager responsibilities to support clients with co-occurring behavioral health and substance use disorders. Staff work under the supervision of Operations Manager 5 or Operations Supervisor 5, and collaborate with clinical, medical, and administrative teams.

This position requires strong peer engagement, accountability, trauma-informed care, and adherence to model fidelity and treatment protocols.

 
SCHEDULED DUTIES AND RESPONSIBILITIES

Peer Recovery Support & Resident Engagement

Provide trauma-informed, person-centered peer support to residents based on shared recovery experiences

Facilitate or co-facilitate groups, recovery check-ins, and therapeutic recreational activities

Support residents in crisis de-escalation, relapse prevention strategies, and coping skills

Encourage treatment participation, goal setting, and progress in recovery plans

Medication Administration (CMT Duties)

Administer prescribed medications according to physician orders and delegating nurse supervision

Accurately document medication administration in Medication Administration Records (MARs)

Report refusals, side effects, discrepancies, or adverse reactions to clinical or nursing staff

Ensure proper storage, labeling, and counting of medications, including controlled substances

Facility Oversight & Household Duties

Monitor resident behavior, headcounts, and maintain visual supervision as assigned

Ensure common areas, resident rooms, and bathrooms remain clean and safe

Assist with meal service, kitchen tasks, trash removal, and light housekeeping duties

Monitor and report facility maintenance or safety concerns promptly

Treatment & Documentation Compliance

Support implementation of individualized treatment and service plans

Participate in monthly reviews of resident treatment progress and provide peer-based input

Assist with initial and ongoing assessments and diagnostic follow-ups every six months

Submit daily care notes in the electronic health record system to confirm that the client is occupying their assigned bed space. These notes must be coded as RESRB

Maintain logs, shift notes, and communication forms in alignment with documentation standards

Shift Leadership & Communication

Participate in a formal shift change at both the beginning and end of your shift with off going and oncoming staff

Shift change must include:

Medication counts and verification of the med cart log

A briefing on residents currently off-site (e.g., hospital, home pass, appointments)

Notification of any visitors currently in the facility

Communication of any incomplete tasks or follow-up items

Updates on resident behavior concerns, incidents, or PRN medication use

Confirmation of supply levels, safety issues, and facility concerns

Contact the Operations Manager 5 or Operations Supervisor 5 immediately in the event of any incident, the arrival of a state surveyor, or if emergency personnel are on the property

Communicate clearly with the clinical team, families (as appropriate), and within interdisciplinary meetings

Health, Safety & Emergency Response

Follow infection control, safety, and universal precaution protocols

Respond to behavioral and medical emergencies using approved procedures

Support residents with CPR, first aid, or transport to care when necessary

Participate in emergency drills and follow evacuation or lockdown procedures as directed

UNSCHEDULED DUTIES AND RESPONSIBILITIES

Respond to participant needs or crises as they arise during the shift

Support resident engagement, community-building, and peer accountability

Cover or assist with group facilitation in the absence of a clinician or staff lead

Participate in training, continuing education, and peer support development

Assist with program events, outings, or wellness initiatives

Contribute to recovery-oriented environment by sharing inspirational messages, resources, or wellness tools

Maintain confidentiality and adhere to ethical guidelines and the Maryland Code of Ethics for Peer Recovery Specialists

COMPETENCIES AND SKILLS

Knowledge of recovery principles and co-occurring disorder treatment

Experience administering medications in residential settings

Strong interpersonal skills, empathy, and boundary-setting abilities

Documentation accuracy and attention to behavioral observations

Professionalism under pressure and teamwork orientation

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

High school diploma or GED required

Certified Peer Recovery Specialist (CPRS) – Maryland certification required

Certified Medication Technician (CMT) credential required

CPR/First Aid Certification (or must obtain within 30 days of hire)

Minimum 1 year experience in residential behavioral health or substance use treatment preferred

Must pass criminal background check, drug screening, and health screening (including TB)

Ability to read, write, and communicate effectively in English

FOCUS #2: 

ABOUT COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM

The Psychiatric Rehabilitation Program (PRP) is a core service of Community Wellness Psychiatric rehabilitation Program, 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.

CLASSIFICATION: Part-time, W-2 employee — approximately 16 hours per week (40% of total weekly hours)

ACCOUNTABLE TO: Operations Manager 3

ACCOUNTABLE FOR:  Delivering skill-building and community support services in accordance with individualized rehabilitation plans, promoting client independence, and maintaining timely and accurate documentation of services provided.

ALTERNATE TITLE(S): Direct Support Professional

COMPANY WEBSITE:

COMPANY PHONE NUMBER: 

HUMAN RESOURCES DEPARTMENT PHONE NUMBER:  (443) 478-4304 EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected] 

SUMMARY OF POSITION RESPONSIBILITIES
The Direct Support Professional (DSP) in the Psychiatric Rehabilitation Program (PRP) is responsible for supporting individuals with serious mental illness and/or co-occurring disorders in achieving greater independence and community integration. The DSP helps clients build daily living skills, access resources, follow through on treatment goals, and develop coping strategies that support their wellness and recovery. Services may be provided in the community, in the client’s home, or at a designated program site and must align with the client's individualized rehabilitation plan.
 
SCHEDULED DUTIES AND RESPONSIBILITIES

Provide skill-building and rehabilitation services in alignment with each client’s Individualized Rehabilitation Plan (IRP), as scheduled by the Scheduling Department and in response to client needs.

Assist clients in developing and practicing activities of daily living (ADLs), including cooking, cleaning, personal hygiene, transportation, budgeting, and other life skills that promote independence.

Support clients in navigating community systems, such as public transportation, benefits enrollment offices, housing resources, and medical or behavioral health appointments.

Deliver services in accordance with PRP scheduling protocols, client availability, and the goals outlined in the IRP.

Promote client independence, self-advocacy, and recovery-oriented practices through every interaction.

Submit accurate and client-centered daily progress notes in the electronic health record (EHR) that reflect the nature and outcome of each session.

Complete all session documentation in real time or no later than the end of each shift.

Follow all documentation standards and use the appropriate service codes for PRP sessions:

Use H2016 with Place of Service (POS) code 15 for off-site sessions (minimum of 15 minutes)

Use H2016 with POS code 52 for on-site sessions (minimum of 60 minutes)

Use modifier U2 for services provided to minor clients

Use modifier U3 for services provided to adult clients

Maintain minimum service delivery requirements:

At least 3 sessions per month for minor clients

At least 6 sessions per month for adult clients

Render services in accordance with the assigned schedule provided by the Scheduling Department and remain responsive to emerging client needs requiring additional or flexible support.

UNSCHEDULED DUTIES AND RESPONSIBILITIES

Respond to client needs or crises as they arise during scheduled service hours

Participate in interdisciplinary team meetings, trainings, or supervision as required

Assist clients in accessing urgent care, legal, or housing-related services during emergencies

Support program engagement efforts, including wellness groups, events, or outreach

Report concerns about client safety, housing conditions, or behavioral changes promptly to supervisors

Uphold confidentiality, dignity, and trauma-informed service delivery in all interactions; Collaborating with each assigned clients assigned mental health counselor and assigned registered nurse case manager for each client weekly and enter a collaboration note in the clients electronic health record 

COMPETENCIES AND SKILLS

Strong interpersonal and communication skills

Ability to engage individuals with mental health needs in respectful, empowering ways

Basic understanding of psychiatric rehabilitation principles

Cultural competence and the ability to work with diverse populations

Dependability, reliability, and organizational skills

Ability to document services clearly and accurately in an electronic health record

Flexibility to adjust services to meet client needs in dynamic community settings

Willingness to learn and follow COMAR, Medicaid, and agency-specific PRP requirements

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

High school diploma or GED required.  For those working with minors, at least a bachelor's degree is required.

At least 1 year of experience working in behavioral health, social services, or human services preferred

Must pass background check and complete PRP observation by supervisor of 20 hours and 40 hours of training

CPR/First Aid certification required (or must be obtained within 30 days of hire)

Valid driver’s license and reliable transportation strongly preferred

Must be able to complete and submit timely, accurate progress notes using required PRP service codes

FOCUS #3 & #4:

ABOUT LIGHTHOUSE BEHAVIORAL HEALTH CENTER at 1114 E 20TH STREET, LLC and LIGHTHOUSE BEHAVIORAL HEALTH CENTER at 1116 E 20TH STREET, LLC

Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC and Lighthouse Behavioral Health Center at 1116 E 20th Street, LLC  provides safe, stable, and recovery-oriented housing for individuals experiencing chronic homelessness, mental illness, substance use disorders, and other complex life challenges. More than just a place to live, Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC and Lighthouse Behavioral Health Center at 1116 E 20th Street, LLC  offers structured, trauma-informed support that empowers residents to rebuild their lives with dignity and independence.

Our program integrates supportive housing with wraparound services including case management, life skills development, behavioral health coordination, and access to medical and community resources. Each resident is provided with individualized support that fosters stability, goal-setting, and reintegration into the broader community.

Lighthouse Behavioral Health Center at 1114 E 20th Street, LLC and Lighthouse Behavioral Health Center at 1116 E 20th Street, LLC  is committed to housing as a foundation for healing—offering not just shelter, but a path to wellness, recovery, and long-term success.

CLASSIFICATION: Part-time, W-2 employee — approximately 8 hours per week (20% of total weekly hours)

ACCOUNTABLE TO: 

Operations Manager 5 (Day Shift)

Operations Supervisor 5 (Night Shift)

ACCOUNTABLE FOR:  Direct care, medication administration, and daily support of residents in a licensed assisted living facility in accordance with COMAR regulations

ALTERNATE TITLE(S): House Manager

COMPANY WEBSITE:  

COMPANY PHONE NUMBER:  

HUMAN RESOURCES DEPARTMENT PHONE NUMBER:  

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:  

SUMMARY OF POSITION RESPONSIBILITIES

The House Manager at a Licensed Assisted Living Facility provides essential daily care, medication support, and supervision to residents in accordance with the Maryland Department of Health’s COMAR 10.07.14 regulations. This role combines the responsibilities of a Certified Medication Technician (CMT), personal care aide, and household support staff, working under the direction of the Operations Manager 5 during the day shift and the Operations Supervisor 5 during the night shift.

Staff must uphold safety, dignity, and comfort for all residents while maintaining full compliance with policies, care plans, and health-related protocols.

SCHEDULED DUTIES AND RESPONSIBILITIES

Resident Personal Care & Support

Assist residents with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, mobility, and hygiene

Provide meal assistance, hydration reminders, and monitor nutritional intake

Assist with transfers, use of assistive devices, and fall prevention practices

Engage residents in social, recreational, or wellness activities

Medication Administration (CMT Duties)

Administer medications in accordance with physician orders, the resident’s service plan, and under the supervision of the delegating nurse

Document medication administration on paper or electronic Medication Administration Records (MARs)

Observe and report medication refusals, adverse reactions, or errors immediately

Ensure medications are stored securely and counted per protocol (including controlled substances)

Facility & Household Duties

Ensure cleanliness and organization of resident rooms and common areas

Complete light housekeeping, laundry, trash removal, and restocking of supplies

Assist with meal service, dietary accommodations, and kitchen sanitization

Monitor for maintenance issues and report facility concerns to management

Documentation & Communication

Complete shift notes, behavior logs, incident reports, and communication logs accurately and promptly

Submit daily care notes in the electronic health record system to confirm that the client is occupying their assigned bed space. These notes must be coded as 00000

Participate in a formal shift change at both the beginning and end of your shift with offgoing and oncoming staff

Shift change must include:

Medication counts and verification of the med cart log

A briefing on residents currently off-site (e.g., hospital, home pass, appointments)

Notification of any visitors currently in the facility

Communication of any incomplete tasks or follow-up items

Updates on resident behavior concerns, incidents, or PRN medication use

Confirmation of supply levels, safety issues, and facility concerns

Maintain documentation related to care delivery, service plan implementation, and compliance tracking

Communicate clearly and professionally with residents, supervisors, nurses, and interdisciplinary team members

Contact the Operations Manager 5 or Operations Supervisor 5 immediately in the event of any incident, the arrival of a state surveyor, or if emergency personnel are on the property

Health, Safety & Emergency Response

Follow infection control and universal precaution protocols

Use de-escalation techniques and provide crisis intervention if needed

Respond to medical emergencies, assist with CPR/first aid, and contact EMS when appropriate

Know and implement emergency evacuation and fire safety procedures

Bed Service Fee Protocol
Ensure that clients pay their bed service fees directly to the Accounts Receivables (A/R) Department, as outlined in their lease agreement. House managers are not permitted to collect fees directly from clients. Instead, clients should be encouraged to submit payment via one of the following approved methods:

At an authorized PayNearMe location using their designated payment slip

By delivering the payment to the A/R Department Manager at 3310 Eastern Avenue

By submitting payment to a designated Special Police Officer

By submitting payment directly to the Operations Manager

UNSCHEDULED DUTIES AND RESPONSIBILITIES

Respond to emergencies, facility issues, or behavioral escalations in real time

Support tenant admissions and discharges, including room readiness and orientation

Participate in audits, inspections, quality assurance reviews, and licensing site visits

Accompany tenants to appointments or community services when required

Cover additional shifts or provide emergency coverage as needed

Maintain confidentiality and uphold trauma-informed, culturally responsive service delivery practices

COMPETENCIES AND SKILLS

Knowledge of aging, dementia, and chronic health conditions

Competency in administering medications and following nursing directives

Ability to follow resident service plans and communicate changes in condition

Reliable, respectful, and committed to resident dignity and confidentiality

Strong observational, documentation, and teamwork abilities

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

High school diploma or GED required

Minimum 1 year of experience in residential, supportive housing, or behavioral health settings; Prior experience in assisted living, skilled nursing, or personal care preferred

Ability to complete accurate documentation, including logs, notes, and maintenance requests

Must pass a criminal background check and pre-employment screenings

CPR/First Aid certification required (or must be obtained within 30 days of hire)

Valid driver’s license and reliable transportation preferred

Must be available for rotating shifts, evening, or weekend coverage as assigned

Assisted living trainings with LTC trainer for staff.

Certified Medication Technician with the MBON (Company can assist with obtaining this upon hire).

Preferred but not required Certified Nurse Aid (CNA/GNA) with the MBON