Co-Occurring Disorder Counselor 2

ems; Baltimore (MD); Hybrid; USD 50,000 - 167,560; Full time

Benefits offered by this job

Paid time off

Health, dental, and vision insurance

Professional development support

Retirement savings plan

Supplemental disability insurance

Job summary

ems is seeking a Co-Occurring Disorder Counselor in Baltimore, Maryland, to provide substance-use and mental-health assessments and treatments. The role allows for both W-2 employment and independent contractor options, ensuring flexibility in work style.

The ideal candidate must hold a valid Maryland license in specified disciplines and will be responsible for documentation, crisis intervention, and coordinating care with providers. Compensation ranges from $50,000 to $167,560 annually, depending on the employment structure.

This position involves community-based work, with responsibilities in both group and individual settings.

Qualifications

• Must hold a valid Maryland license in one of the specified counseling or psychology disciplines.
• Experience in substance-use and mental-health assessments is required.
• Ability to coordinate with external providers for client care.

Responsibilities

• Provide assessment and treatment for co-occurring disorders.
• Facilitate individual, family, and group counseling as scheduled.
• Maintain compliance with CARF, Medicaid, and COMAR standards.

Skills

Substance-use assessment

Mental-health counseling

Documentation compliance

Crisis intervention

Education

Licensed Clinical Alcohol & Drug Counselor (LCADC)

Licensed Clinical Professional Counselor (LCPC)

Licensed Certified Social Worker – Clinical (LCSW-C)

Job description

DISCLOSURE

This role can be fulfilled as a W‑2 employee or an independent contractor (1099). Candidates must select the preferred engagement type upon applying. The details below outline both the 1099 independent contractor and W‑2 employee versions of this opportunity, including responsibilities, qualifications, benefits, and compensation.

DIVISION

Operations

UNIT

n/a

ACCOUNTABLE TO

Operations Manager 2

Client Service Location Expectations

Clients are primarily located in community‑based group homes. Sessions may also be conducted in community‑based offices, the company’s main office, or via telehealth if either the client or the counselor is physically located on site.

Caseload Makeup

• 6 Category A clients serviced in community‑based meeting room 1723 Gwynns Falls Parkway, Baltimore, MD 21217
• 4 clients (non‑Category A) serviced in the community or at 3310 Eastern Avenue, Baltimore, MD 21224

OPTION 1 – 1099 INDEPENDENT CONTRACTOR

Scope of Service

Co‑Occurring Disorder Counselor – Independent Contractor. The role spans two organizations: Lighthouse Behavioral Health Center and Community Wellness Outpatient Mental Health Center. The contractor maintains separate contracts with each entity, invoices separately, and is responsible for taxes, benefits, and liability coverage.

Overview

Assigned clients reside mainly in community‑based group homes. The counselor schedules and facilitates group and individual counseling sessions, conducts assessments, and completes documentation throughout the service period.

Responsibilities

• Provide substance‑use and mental‑health assessment, diagnosis, and treatment for co‑occurring disorders.
• Facilitate individual, family, and group counseling as scheduled.
• Conduct diagnostic assessments and treatment planning at initial service and each 6-month follow‑up.
• Maintain timely documentation in ICANotes, ensuring compliance with CARF, Medicaid, and COMAR standards.
• Coordinate with program coordinators and external providers, including PCPs, housing, probation, or substance‑use programs.
• Deliver crisis intervention and safety planning as needed.
• Participate in fidelity reviews, clinical audits, and ongoing training (CEUs) to maintain licensure and model proficiency.

Qualifications & Licensing

The contractor must hold a valid Maryland license in 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‑PMH)
• Advanced Practice Registered Nurse – Psychiatric Mental Health (APRN‑PMH)
• Clinical Nurse Specialist – Psychiatric Mental Health (CNS‑PMH)
• Student Intern in one of the above disciplines

Compensation & Invoicing

Contractors are compensated per service rendered (e.g., per session or group). Invoices must be submitted by Saturday at midnight each week, listing dates, locations, and service details.

Independent Contractor Status

The contractor retains discretion over service delivery but is not entitled to employee benefits. Appropriate professional liability insurance must be maintained and proof provided upon request.

OPTION 2 – W‑2 EMPLOYMENT

Structure

The full‑time W‑2 position spans two organizations: Lighthouse Behavioral Health Center and Community Wellness Outpatient Mental Health Center. Each organization employs the counselor part‑time (≈20 hours per week), combining to a total of 40 hours.

Benefits

Paid time off; health, dental, and vision insurance reimbursement; professional development support; retirement savings plan; supplemental disability insurance.

Work Schedule

4–5 eight‑hour days per week, preferably Monday through Friday, 8:00 AM to 5:00 PM.

Compensation

Annual salary ranges from $50,000 to $167,560, paid on a fee‑for‑service basis.

Travel & Work Conditions

• Up to 10 % travel, interoffice and site‑based.
• Community‑based offices or hybrid setting with in‑person responsibilities.
• Possible exposure to emotional or crisis situations.
• Collaborative and team‑oriented clinical environment.

Responsibilities

• Provide substance‑use and mental‑health counseling (individual, group, family) for co‑occurring disorders.
• Maintain treatment plans, documentation, and evidence‑based practice fidelity.
• Coordinate care with internal and external providers.
• Adhere to COMAR, CARF, and regulatory requirements.
• Participate in audits, quality assurance, training, and supervision.
• Ensure crisis intervention and safety planning as required.

Qualifications & Licensure

Same licensure requirements as the independent contractor version.