Co-Occurring Disorder Counselor 8
Enterprise Mangement Solutions Inc
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Benefits offered by this job
Job summary
Lighthouse Behavioral Health Center seeks a qualified Co-Occurring Disorder Counselor to provide outpatient substance use and mental health treatment for individuals with co-occurring disorders. The role requires implementing evidence-based practices and maintaining timely documentation.
Counselors will work across outpatient settings within a collaborative clinical team. The position emphasizes fidelity to treatment models, trauma-informed care, and coordination with partner programs to support
Qualifications
- Bachelor's degree in psychology, social work, counseling or related field.
- Master's degree preferred for advanced practice.
- Licensure in relevant field (LCADC/LGADC/LCPC/LCSW etc.) per state requirements.
Responsibilities
- Provide substance use and mental health counseling to clients with co-occurring disorders.
- Develop and review treatment plans; maintain clinical documentation.
- Coordinate care with internal staff and external providers; ensure regulatory compliance.
- Adhere to fidelity to clinical models and complete timely documentation.
Skills
Education
Tools
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.
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.
- 4 Category A clients to be serviced at community based meeting room 809 N Rose Street, Baltimore, MD 21205
- 1 other than Category A clients to be serviced in the community or at 3310 Eastern Avenue, Baltimore, MD 21224
Co-Occurring Disorder Counselor – Independent Contractor
Contract Position (1099). Fee-for-service.
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.
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 contractor 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.
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.
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.
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
Outpatient Substance Use Disorder Treatment Program (OP SUD)
https://lighthousebhc.org/
(667) 400-6206
(667) 400-6206 EXT 10
hr@lighthousebhc.org
Substance Abuse Counselor, Drug and Alcohol Counselor
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—helping them navigate recovery, build resilience, and achieve greater stability in their lives.
The company will credential the counselor to provide the above-listed services with a focus on outpatient mental health disorder treatment. These services will be delivered under the counselor’s independent contractor agreement with Community Wellness Outpatient Mental Health Center, as outlined below.
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
Outpatient Mental Health Treatment Program (OP MH)
https://cwomhc.org/
(667) 309-9920
(667) 309-9920 EXT 10
hr@cwomhc.org
Mental Health Counselor
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.
- 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
- 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.
- 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.
- 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)
- A Student Intern in one of the above disciplines.
- 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.
- 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.
This W-2 fee-for-service Co-Occurring Disorder Counselor position includes responsibilities that span across the following three organizations, all under shared leadership.
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 service documents, responsibilities, and compliance obligations tracked separately for each.
Though the employee 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 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.
This is a full‑time, W-2 employee position totaling 40 hours per week, with hours allocated across three affiliated organizations as follows:
- Community Wellness Outpatient Mental Health Center (CWOMHC):
Part-time, W-2 employee — approximately 20 hours per week (50% of total weekly hours) - Lighthouse Behavioral Health Center (LHBHC):
Part-time, W-2 employee — approximately 20 hours per week (50% 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.
Operations Manager 2
Paid time off; health, dental, and vision insurance reimbursement; professional development support; retirement savings plan; supplemental disability insurance
4 – 5 eight‑hour days each week preferably Monday – Friday, 8:00 AM – 5:00 PM
Ranges between $167,560 per year to $50,000 per year paid on a fee‑for‑service basis for servicing assigned clients as scheduled. Commensurate based on credentials and experience.
Up to 10% of the time (interoffice and site-based)
- Community based offices or hybrid setting, with in‑person responsibilities based on client needs
- Possible exposure to emotional or crisis situations with clients
- Collaborative and team‑oriented clinical environment
- 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.
- Ensure the medical director or clinical supervisor reviews and co‑signs documents as required.
Regularly walk, stand, or stoop; occasionally lift, carry, push, pull, or otherwise move objects weighing up to 10 pounds; and regularly drives a motor vehicle.
Work is performed in an office, Work exposes incumbent to contagious or infectious diseases; Work may expose incumbent to dangerous and volatile situations; which could result in bodily injury.
- Minimum 1–2 years experience working with dual diagnosis or high‑acuity populations preferred
- Must pass background and reference checks
- Familiarity with Medicaid documentation, CARF standards, and trauma‑informed care required
- Strong understanding of mental health and substance use diagnoses (DSM‑5‑TR)
- Proficiency in developing recovery‑oriented, measurable treatment goals
- Ability to maintain timely documentation and clinical billing compliance
- Excellent verbal and written communication skills
- Team‑oriented with the ability to work independently and prioritize tasks
- Commitment to equity, inclusion, and culturally responsive care
At least a Bachelor’s degree in psychology, social work, counseling, or a related field (Master’s degree preferred).
- 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)
- A Student Intern in one of the above disciplines.
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.
Delivering evidence-based substance abuse disorder focused treatment services to individuals with co‑occurring mental health and substance use disorders in compliance with clinical model fidelity and documentation timelines
Outpatient Substance Use Disorder Treatment Program (OP SUD)
https://lighthousebhc.org/
(667) 400-6206
(667) 400-6206 EXT 10
hr@lighthousebhc.org
Co-Occurring Disorder Counselor
Substance Abuse Counselor, Substance Use Disorder Counselor, Drug and Alcohol Counselor
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—helping them navigate recovery, build resilience, and achieve greater stability in their lives.
The Co-Occurring Disorder Counselor is responsible for the substance use disorder treatment focused assessment, diagnosis, and treatment of individuals experiencing both mental health and substance use disorders. This role provides therapeutic interventions that align with evidence‑based models of care (e.g., Motivational Interviewing, CBT, DBT, Integrated Dual Disorders Treatment) and maintains fidelity to program‑specific requirements.
The counselor is responsible for developing and reviewing treatment plans, maintaining clinical documentation, and ensuring that all services reflect model‑aligned, recovery‑oriented care.
- Provide substance use disorder focused individual, group, and family counseling for clients with co‑occurring mental health and substance use disorders as scheduled
- 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
- Manage a clinical caseload assigned by the scheduling department
- 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
- 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
The company will credential the counselor to provide the above-listed services with a focus on outpatient mental health disorder treatment. These services will be delivered under the counselor’s independent contractor agreement with Community Wellness Outpatient Mental Health Center, as outlined below.
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
Outpatient Mental Health Disorder Treatment Program (OP MH)
https://cwomhc.org
(667) 309-9920
(667) 309-9920 EXT 10
hr@cwomhc.org
Co-Occurring Disorder Counselor
Mental Health Counselor, Mental Health Disorder Counselor
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.
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