Co-Occurring Disorder Counselor 12

Enterprise Mangement Solutions Inc; Baltimore (MD); Hybrid; USD 70,000 - 100,000; Part time

Benefits offered by this job

Flexible scheduling

Competitive compensation based on services

Job summary

A community-based health organization in Baltimore, MD is looking for a licensed Co-Occurring Disorder Counselor on an independent contractor basis. The role involves providing outpatient substance use disorder treatment services, including facilitating counseling sessions and conducting assessments. Ideal candidates will be Maryland licensed with a focus on evidence-based practices. This position requires approximately 40 hours of work per week, allowing flexibility in scheduling. Competitive compensation is based on services rendered, with all required documentation to be completed in ICANotes.

Qualifications

• Must hold valid licensure as a Co-Occurring Disorder Counselor.
• Experience providing outpatient substance use disorder treatment services.
• Familiarity with documentation requirements for electronic health records.

Responsibilities

• Provide outpatient substance use disorder treatment services.
• Facilitate group and individual counseling sessions.
• Conduct assessments and maintain client documentation.
• Coordinate with program coordinators to ensure client care needs are met.
• Invoice for services and adhere to contract terms.

Skills

Licensed Clinical Alcohol & Drug Counselor (LCADC)

Licensed Graduate Clinical Alcohol & Drug Counselor (LGADC)

Certified Alcohol & Drug Counselor - Addictions Counselor (CAC-AD)

Licensed Clinical Professional Counselor (LCPC)

Certified Registered Nurse Practitioner - Psychiatric Mental Health (CRNP-PHM)

Education

Maryland licensure in relevant discipline

LCADC/LGADC/LCSW etc. Maryland licensure

Tools

ICANotes

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 2

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

• 7 Category A clients to be serviced at community based meeting room at 819 N Fremont Avenue Baltimore, MD 21217
• 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

Co-Occurring Disorder Counselor – Independent Contractor

CLASSIFICATION

Contract Position (1099). Fee-for-service.

DISCLOSURE – MULTI-ENTITY CONTRACTOR ROLE

This 1099 Independent Contractor role for a Co-Occurring Disorder Counselor includes responsibilities that span across the following two organizations, all operating under shared leadership:

• FOCUS #1: Lighthouse Behavioral Health Center
• FOCUS #2: Community Wellness Outpatient Mental Health Center

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 Co‑Occurring Disorder Counselor to provide outpatient substance use disorder treatment services on an independent contractor basis. The contractor will schedule and facilitate group and individual counseling sessions, conduct assessments, and complete client documentation within the designated service period.

Scope of Work

The company will credential the counselor to provide the above‑listed services with a focus on outpatient substance use disorder treatment. These services will be delivered under the counselor’s independent contractor agreement with Lighthouse Behavioral Health Center, as outlined below.

FOCUS #1 – Lighthouse Behavioral Health Center

Delivering evidence‑based substance disorder abuse focused treatment services to individuals with co‑occurring mental health and substance use disorders in compliance with clinical model fidelity and documentation timelines.

DEPARTMENT

Outpatient Substance Use Disorder Treatment Program (OP SUD)

COMPANY WEBSITE

https://lighthousebhc.org/

COMPANY PHONE NUMBER

[phone]

CONTRACT ADMINISTRATOR PHONE NUMBER

[phone] EXT 10

CONTRACT ADMINISTRATOR EMAIL ADDRESS

[e-mail]

ALTERNATE TITLE(S)

• Substance Abuse Counselor
• Drug and Alcohol Counselor

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—including helping them navigate recovery, build resilience, and achieve greater stability in their lives.

FOCUS #2 – Community Wellness Outpatient Mental Health Center

Delivering evidence‑based mental health disorder focused treatment services to individuals with co‑occurring mental health and substance use disorders in compliance with clinical model fidelity and documentation timelines.

DEPARTMENT

Outpatient Mental Health Treatment Program (OP MH)

COMPANY WEBSITE

https://cwomhc.org/

COMPANY PHONE NUMBER

[phone]

CONTRACT ADMINISTRATOR PHONE NUMBER

[phone] EXT 10

CONTRACT ADMINISTRATOR EMAIL ADDRESS

[e-mail]

ALTERNATE TITLE(S)

• Mental Health Counselor

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

• Facilitating individual, family, and group focused counseling sessions, diagnostic evaluations, assessments and treatment planning sessions as scheduled.
• Providing make‑up sessions for clients who missed their originally scheduled session.
• Allocating time for documentation and session note writing within ICANotes before the conclusion of the service period.
• Addressing individual client needs, if requested, within the service timeframe.
• Coordinating independently with the program coordinator to ensure client care needs are met.
• Maintaining compliance with COMAR regulations, professional licensing requirements, and ethical standards.
• The company provides an approved treatment curriculum, which the contractor may use at their discretion. Contractors may also integrate their own approaches as long as they align with best practices and regulatory requirements.
• Utilize and maintain fidelity to the agency’s designated clinical treatment models.
• Apply trauma‑informed, person‑centered practices to every stage of the clinical relationship.
• Complete initial treatment plans within the required timeframe (e.g., first 7 days of admission).
• Conduct monthly treatment plan reviews to assess goal progress, revise interventions, and document outcomes.
• Complete initial diagnostic assessments and evaluations at the start of services.
• Perform comprehensive reassessments and updated diagnostic evaluations every 6 months.
• Maintain accurate, timely documentation in the electronic health record system in accordance with CARF, Medicaid, and COMAR standards.
• Provide routine case coordination with internal staff and external service providers, including PCPs, housing, probation, or substance use programs.
• Maintain awareness of client barriers and address social determinants of health in treatment planning.
• Ensure crisis intervention and safety planning are provided as needed.

Service Schedule & Session Structure

• The contractor agrees to render services for which the contractor is credentialed.
• Services must be rendered on‑site, as specified in the agreement. If you are on site and your client is not on site, you may render the service to the client via telehealth while you are on‑site.
• Services must be scheduled at least 7 days in advance and aligned with client availability, client individual needs, industry standards and program model guidelines.

Documentation & Compliance

• Contractor must submit detailed invoices reflecting services performed, including dates, locations, and nature of work.
• Follow fidelity guidelines for integrated co‑occurring treatment approaches.
• Participate in fidelity reviews, clinical audits, and supervision designed to improve quality and consistency of care.
• Track treatment outcomes and client satisfaction as part of ongoing quality assurance.
• Attend required clinical training and CEUs to maintain licensure and model proficiency.
• Must comply with company policies and regulatory bodies such as COMAR, CARF, and CSA.
• Complete and maintain all required documentation for audits, quality assurance, and service delivery verification.
• Session documentation must be completed and submitted in ICANotes before the contractor’s service window ends each day.
• Documentation includes, but is not limited to:
  • Substance use disorder focused group therapy notes coded as H0005
  • Substance use disorder focused individual session progress notes and treatment planning sessions coded as H0004 (with units in 15‑minute increments)
  • Substance use disorder focused diagnostic biopsychosocial assessments coded as H0001
  • Mental health disorder focused group therapy notes coded as 90853
  • Mental health disorder focused individual session progress notes coded as 90832 or 90834
  • Mental health disorder focused family session notes coded as 90846 or 90847
  • Mental health disorder focused individual treatment planning sessions coded as H0032
  • Mental health focused diagnostic biopsychosocial assessments coded as 90791
  • Treatment plan updates as necessary

Qualifications & Licensing Requirements

To be eligible for this contract, the contractor must hold valid Maryland licensure, including one of the following:

• Licensed Clinical Alcohol & Drug Counselor (LCADC)
• Licensed Graduate Clinical Alcohol & Drug Counselor (LGADC)
• Certified Alcohol & Drug Counselor - Addictions Counselor (CAC‑AD)
• Certified Supervised Counselor Alcohol & Drug (CSCAD)
• Approved Alcohol & Drug Trainee (ADT)
• Licensed Clinical Professional Counselor (LCPC)
• Licensed Graduate Professional Counselor (LGPC)
• Licensed Certified Social Worker - Clinical (LCSW‑C)
• Licensed Certified Social Worker (LCSW)
• Licensed Master Social Worker (LMSW)
• Licensed Bachelor Social Worker (LBSW)
• Licensed Clinical Marriage & Family Therapist (LCMFT)
• Licensed Graduate Marriage & Family Therapist (LGMF)
• Licensed Psychologist
• Registered Psychology Associate
• Certified Registered Nurse Practitioner - Psychiatric Mental Health (CRNP‑PHM)
• Advanced Practice Registered Nurse - Psychiatric Mental Health (APRN‑PHM)
• Clinical Nurse Specialist - Psychiatric Mental Health (CNS‑PHM)
• A Student Intern in one of the above disciplines.

Compensation, Invoicing & Payment Terms

• Contractors will be compensated per service rendered (e.g., per session, per group, or per client contact), rather than by hourly wages.
• Payments will be made based on submitted invoices reflecting the services provided.
• Invoices covering services from Sunday through Saturday must be submitted to the Contract Administrator by Saturday at midnight to be included in the scheduled check run.
• Invoices submitted after this deadline may be processed in the following check run.
• The contractor is responsible for all taxes, insurance, and licensing costs associated with their work.

Independent Contractor Status

• The contractor retains full discretion over how services are performed, provided they meet program requirements.
• The contractor is not an employee and is not entitled to benefits such as health insurance, paid leave, or unemployment insurance.
• The contractor must maintain appropriate professional liability insurance and provide proof upon request.

Proposal Submission Process

Interested contractors are invited to submit a competitive proposal for providing addiction counseling services under this contract. Proposals are accepted on a rolling basis. To be considered, please complete and submit responses to the questions in the fields below.

Proposal Requirements

• Contractor Information:
  • Full Name / Business Name
  • Contact Information
  • Business License (if applicable)
• Qualifications & Licensing:
  • Applicants must hold valid licensure in the State of Maryland in one of the disciplines indicated above.
• Experience & Approach:
  • Summary of relevant experience in outpatient substance use disorder treatment settings.
  • Proposed approach to service delivery, including experience with ICANotes documentation.
• Proposed Rate & Compensation Structure:
  • Per service rate (e.g., per session, per group, per client contact).
  • Any additional cost considerations.
• Availability & Service Delivery Plan:
  • Days and times the contractor is available to render services.
  • Confirmation that the contractor can provide in-person sessions only.

Proposal Evaluation & Selection Process

Proposals will be reviewed on a rolling basis, and contracts may be awarded as qualified proposals are received.

• Qualifications & Licensure Compliance (30%)
  • Valid licensure in Maryland as specified in the Qualifications & Licensing section.
  • Compliance with professional and regulatory standards.
• Relevant Experience in Co‑Occurring Disorder Counseling (25%)
  • Demonstrated experience in outpatient substance use disorder treatment settings or a similar setting.
  • Experience with ICANotes or comparable electronic health record (EHR) systems.