Counseling Supervisor

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 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

FOCUS #1:
 

ABOUT COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM

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.

ACCOUNTABLE FOR: 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

CLASSIFICATION: Part-time, W-2 employee — approximately 18 hours per week (45% of total weekly hours)

ALTERNATE TITLE(S): OMHC Administrator, Clinical Program Director, Clinical Supervisor

COMPANY WEBSITE: https://cwomhc.org/ 

COMPANY PHONE NUMBER: (667) 309-9920

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 309-9920 EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected] 

ACCOUNTABLE FOR: All OMHC staff

SUMMARY OF POSITION RESPONSIBILITIES

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). This dual-role position is responsible for ensuring the continuity of clinical services, monitoring staff performance, managing program quality and efficiency, and fulfilling the duties as required under COMAR 10.21.20.10 and COMAR 10.21.17.

The role ensures that clients receive clinically appropriate, timely, and coordinated mental health services while maintaining compliance with Maryland state regulations, audit standards, and ethical practices.

COMAR REGULATORY RESPONSIBILITIES Per COMAR 10.21.20.10 – Program 

Director Requirements

Be a licensed mental health professional, or hold a master’s degree in:

Mental health

Health services

Business administration

Be employed at least 20 hours per week at the OMHC

Responsible for:

Ensuring administrative requirements of COMAR 10.21.17 are met

Fulfilling all OMHC programmatic requirements

Providing continuity of service when clinical staff are unavailable

Implementing a system of clinical supervision for all treatment staff

Demonstrating knowledge of all regulatory requirements for the operation of the OMHC

Clinical Supervisor Responsibilities

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

SCHEDULED DUTIES AND RESPONSIBILITIES

Administrative Oversight

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

Clinical Supervision

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

Quality Assurance & Compliance

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

Interdisciplinary Collaboration

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

UNSCHEDULED DUTIES AND RESPONSIBILITIES

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

FOCUS #2:
 

ABOUT LIGHTHOUSE BEHAVIORAL 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.

ACCOUNTABLE FOR: 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

CLASSIFICATION: Part-time, W-2 employee — approximately 18 hours per week (45% of total weekly hours)

ALTERNATE TITLE(S): Clinical Director, Program Administrator, Clinical Supervisor

COMPANY WEBSITE: https://lighthousebhc.org  

COMPANY PHONE NUMBER:  (667) 400-6206

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

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected]  

ACCOUNTABLE FOR: All SUD staff

SUMMARY OF POSITION RESPONSIBILITIES

The Operations Manager for Lighthouse Behavioral Health Center fulfills the regulatory roles of Clinical Director, Program Administrator, and Clinical Supervisor across residential and outpatient substance use disorder treatment services. This position is responsible for 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.

This leadership position provides direction for MAT, SUD, and SUD residential treatment programs all managed under Lighthouse Behavioral Health Center, LLC.

REGULATORY ROLES & RESPONSIBILITIES

Clinical Supervisor – per COMAR 10.47.01.06 & 10.47.02.06

Serve as the designated Clinical Supervisor for all licensed treatment programs

Must hold:

A master’s degree in counseling or related field, and

Licensure or certification as an alcohol and drug counselor (e.g., LCADC, LGADC, LCPC), or

Board-approved supervision credentials

Oversee delivery of clinical services, including documentation and direct care supervision

Provide clinical supervision to multidisciplinary staff including licensed counselors, interns, and support staff

May carry a small caseload at the discretion of the COO

Program Administrator – per COMAR 10.47.01.04

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

Clinical Director

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

SCHEDULED DUTIES AND RESPONSIBILITIES

Clinical Oversight

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

Administrative Operations

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

Staff Supervision & Performance Management

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

Compliance & Audit Readiness

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

UNSCHEDULED DUTIES AND RESPONSIBILITIES:

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

FOCUS #3:
 

ABOUT FREEDOM HEALTHCARE

Freedom Healthcare, doing business as Community Wellness Primary Care Clinic, is a mission-driven organization dedicated to improving health equity through integrated, compassionate, and community-based care. Our clinic provides high-quality primary care services with a focus on underserved populations, including individuals with co-occurring behavioral health conditions, chronic illness, or complex social needs.

As a part of Freedom Healthcare’s broader commitment to holistic wellness and community empowerment, Community Wellness Primary Care Clinic delivers accessible services such as preventive care, chronic disease management, health screenings, and coordination with behavioral health supports. Our multidisciplinary team strives to meet patients where they are—physically, emotionally, and socially—while ensuring dignity, respect, and quality in every interaction.

ACCOUNTABLE FOR: Oversight of daily clinic operations, staffing, compliance, documentation, scheduling, and coordination of patient services at the Freestanding General Clinic

CLASSIFICATION: Part-time, W-2 employee — approximately 4 hours per week (10% of total weekly hours)

ALTERNATE TITLE(S): Clinic Operations Manager, Primary Care Administrator

COMPANY WEBSITE: https://freedomhealthcare.biz 

COMPANY PHONE NUMBER:   (667) 770-6320

HUMAN RESOURCES DEPARTMENT PHONE NUMBER:   (667) 770-6320 EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:  [email protected] 

SUMMARY OF POSITION RESPONSIBILITIES
The Operations Manager is responsible for overseeing the administrative and operational functions of the Freestanding General Clinic. This includes staffing supervision, clinical workflow oversight, regulatory compliance, documentation support, and patient access optimization. The Operations Manager will work closely with clinical providers, billing, scheduling, and compliance staff to ensure efficient and compliant day-to-day clinic operations.

SCHEDULED DUTIES AND RESPONSIBILITIES

Clinical & Administrative Oversight

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

Patient Services & Compliance

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

Quality Assurance & Performance Monitoring

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

Team Leadership & Coordination

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

UNSCHEDULED DUTIES AND RESPONSIBILITIES

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