People Encouraging People is an organization driven by our core values. Our programs provide a wide range of services, from rehabilitation, to assistance for the deaf and blind, to residential and vocational ventures aimed at assimilating our clients into the community.
Our clients face various challenges, from schizophrenia to drug addiction to homelessness. They represent the full diversity of our community. What they have in common is they are treated with respect and decency and shown that through hard work and encouragement, they can improve the quality of their lives and the quality of our community.
Newly Licensed Candidates and License-Eligible Candidates are Encouraged to Apply!Make a Real Impact—Beyond the Therapy Office
Are you a therapist who wants to do more than sit in an office all day? Join our Assertive Community Treatment (ACT) team and help individuals with serious mental illness live independently, stay out of the hospital, and build meaningful lives in their communities.
This is not traditional outpatient therapy. ACT is hands-on, team-based, and deeply impactful work—where every day is different, and your support meets clients where they are.
What You’ll Do
· Provide community-based mental health services in homes, shelters, and other real-world settings
· Work as part of a multidisciplinary team (psychiatry, nursing, case management, peer support)
· Share responsibility for a team caseload—no isolated practice
Support clients with:
o Symptom management
o Crisis intervention
o Housing stability
o Substance use recovery
o Daily living skills
Why This Role Is Different
· You’re not alone: Shared caseload + daily team support
· Flexible, field-based work: Less back-to-back sessions, more meaningful engagement
· Real outcomes: Help reduce hospitalizations and support long-term recovery
· Creative problem-solving: No “one-size-fits-all” treatment plans
What We’re Looking For
·Licensed (or license-eligible) (LMSW, LGPC, LCPC, LCSW, LMFT)
· Strong communication and teamwork skills
· Comfort working in community settings and adapting to changing situations
· Passion for serving individuals with serious mental illness
What We Offer
· Competitive salary
· Clinical supervision toward licensure (if applicable)
· Generous PTO + holidays
· Mileage reimbursement for field work
· Ongoing training in evidence-based practices
· Supportive team culture focused on preventing burnout
Ready to Apply?
If you’re looking for meaningful, team-driven work where you can see real change in people’s lives.
Read LessPeople Encouraging People is an organization driven by our core values. Our programs provide a wide range of services, from rehabilitation, to assistance for the deaf and blind, to residential and vocational ventures aimed at assimilating our clients into the community.
Our clients face various challenges, from schizophrenia to drug addiction to homelessness. They represent the full diversity of our community. What they have in common is they are treated with respect and decency and shown that through hard work and encouragement, they can improve the quality of their lives and the quality of our community.
Newly Licensed Candidates and License-Eligible Candidates are Encouraged to Apply!Make a Real Impact—Beyond the Therapy Office
Are you a therapist who wants to do more than sit in an office all day? Join our Assertive Community Treatment (ACT) team and help individuals with serious mental illness live independently, stay out of the hospital, and build meaningful lives in their communities.
This is not traditional outpatient therapy. ACT is hands-on, team-based, and deeply impactful work—where every day is different, and your support meets clients where they are.
What You’ll Do
· Provide community-based mental health services in homes, shelters, and other real-world settings
· Work as part of a multidisciplinary team (psychiatry, nursing, case management, peer support)
· Share responsibility for a team caseload—no isolated practice
Support clients with:
o Symptom management
o Crisis intervention
o Housing stability
o Substance use recovery
o Daily living skills
Why This Role Is Different
· You’re not alone: Shared caseload + daily team support
· Flexible, field-based work: Less back-to-back sessions, more meaningful engagement
· Real outcomes: Help reduce hospitalizations and support long-term recovery
· Creative problem-solving: No “one-size-fits-all” treatment plans
What We’re Looking For
·Licensed (or license-eligible) (LMSW, LGPC, LCPC, LCSW, LMFT)
· Strong communication and teamwork skills
· Comfort working in community settings and adapting to changing situations
· Passion for serving individuals with serious mental illness
What We Offer
· Competitive salary
· Clinical supervision toward licensure (if applicable)
· Generous PTO + holidays
· Mileage reimbursement for field work
· Ongoing training in evidence-based practices
· Supportive team culture focused on preventing burnout
Ready to Apply?
If you’re looking for meaningful, team-driven work where you can see real change in people’s lives.
Read LessJob Summary
We’re seeking a compassionate and motivated Substance Abuse Counselor to join our Assertive Community Treatment (ACT) Team. This role supports individuals with serious mental illness and co-occurring substance use disorders through evidence-based treatment, recovery-focused services, and community-based support.
Key Responsibilities
Provide substance use counseling, prevention, and sobriety maintenance using 12-step principles and evidence-based practicesSupport clients with daily living skills, community integration, and relapse preventionCoordinate and transport clients to AA/NA meetings and community activitiesDevelop and manage monthly sobriety-focused activity calendarsPerform drug screenings as requiredComplete clinical documentation, including individual treatment plans (ITPs) and progress notesProvide case management for an assigned caseload, including assessment and care coordinationFacilitate social and recreational activities for ACT clientsEducate and support families; advocate for client rights and preferencesParticipate in on-call crisis interventions (evenings/weekends, as scheduled)Maintain fidelity to the ACT Model of CareEducation & Experience
Bachelor’s degree in Psychology, Human Services, Addiction Counseling, or related field preferred1–3 years of relevant experience considered in lieu of degreeCertifications & Requirements
Certified or eligible for certification in addictions treatmentValid driver’s license with a clean driving recordAbility to work independently with minimal supervisionKnowledge of mental illness and substance use disordersWhy Join Us?
Mission-driven, community-based workCollaborative multidisciplinary ACT teamMeaningful impact supporting long-term recovery Read LessPOSITION OVERVIEW
Oversee Homeless Outreach Team services that provide advocacy, service coordination, resource procurement, counseling, and support for clients enrolled in the program. Ensure that high-quality, high-fidelity Homeless Outreach services are provided to all clients. Responsible for hiring, supervising, and training Homeless Outreach personnel, as well as overseeing the overall management, evaluation, and budget of Homeless Outreach programs.
SPECIFIC RESPONSIBILITIES
· Hire, supervise, and train staff members; conduct performance evaluations and initiate disciplinary actions as required.
· Direct the day-to-day clinical operations of the team, including scheduling and ensuring adherence to agency policies. Lead daily morning meetings and weekly clinical review meetings to ensure clients' needs are addressed. Evaluate client status and ensure the intensity of services matches each client's needs.
· Direct and coordinate the admission and discharge processes for clients entering and exiting the program. Assign clients to individual team members for primary responsibility. Monitor and coordinate referral, intake, and orientation processes for new clients.
· Provide clinical supervision and conduct monthly individual supervision sessions with all staff.
· Review the quality and quantity of services provided and documentation completed by staff.
· Provide crisis intervention and support as needed.
· Conduct regularly scheduled staff meetings to address operational and clinical concerns.
· Ensure that documentation contained in client records meets accreditation and regulatory requirements.
· Collaborate with the Core Service Agency and other community organizations to promote the agency's mission and secure community resources.
· Communicate with community agencies regarding client concerns and needs; schedule and/or attend community meetings as required.
· Ensure all client documentation is completed accurately, submitted in a timely manner, and complies with all applicable regulations and requirements.
· Monitor medication management and health-related concerns for clients enrolled in the Homeless Outreach program.
· Monitor the program budget, including billing, grant expenditures, and overall fiscal performance.
· Develop expertise in the Homeless Outreach philosophy and maintain high fidelity to the Homeless Outreach Model of Care.
· Ensure that the quality of services reflects the principles and standards of the Homeless Outreach Model of Care.
· Ensure on-call coverage, including on-site response during evenings, nights, weekends, and holidays, as required.
· Ensure the Homeless Outreach office operates efficiently and is clean, safe, and well maintained.
· Develop departmental policies and procedures as needed.
· Research, develop, write, edit, and submit compelling grant proposals, letters of inquiry, and supporting documentation.
· Manage the grant lifecycle from prospect identification through award, implementation, reporting, compliance, and closeout.
· Prepare and submit timely grant renewal applications to maintain existing funding sources.
· Perform other duties as assigned.
PRINCIPAL ACCOUNTABILITIES
Staff supervision and professional development
Ensure client documentation complies with regulatory and accreditation requirements
Coordinate Homeless Outreach services to ensure high-quality client care
Promote and monitor client well-being, both clinically and physically
Represent the agency through participation with community organizations, as required
Program billing, grant management, and budget oversight
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
Education: Master’s degree in social work, Psychology, Counseling, Nursing, or a related field. Current Maryland licensure in a mental health profession is required. A minimum of three years of experience working with adults with serious and persistent mental illness is preferred.
Skill Requirement: One to six months of on-the-job training (OJT) is required for proficient job performance.
Job Requirements:
Excellent communication, problem-solving, and organizational skills.
Minimum of two years of supervisory experience.
Valid driver's license with a clean driving record.
Ability to work independently with minimal supervision.
COMMENTS
Must demonstrate knowledge of evidence-based mental health treatment practices and services for individuals experiencing homelessness.
Read LessMember of the BCORE team to provide clinically oriented outreach and engagement, clinical casecoordination and therapeutic counseling for individuals who use or abuse opiates and other substances, diagnosed with a mental health disorder or dually diagnosed. Conduct community-based, assessments, consultation, treatment planning, implementation and follow-up on direct services and rehabilitation to assist clients and their families in coping with health-related social problems, addiction, mental illness, and trauma.
REPORTING STRUCTUREThere is no staff reporting to this position.
SPECIFIC RESPONSIBILITIESWork effectively and collaboratively with other specialists as part of an interdisciplinary team. Utilize evidence-based practices for street outreach, clinical case management, addiction disorders, and co-occurring disorders when performing engagement, individual sessions and group sessions.
Conduct canvassing and outreach visits to various street locations, agencies, shelters, and hospitals to engage clients who may be eligible for the BCORE program.
Earn and maintain clients' trust through consistency, integrity, honesty, managing
expectations, unconditional positive regard, and persistent follow-up; impart this approach throughout the team through role modeling, coaching, and close consultation.
Conduct screening interviews and assessments using personal interviews, referral information,
medical history, collateral contact and additional methods as needed.
Recommend treatment plans that address medical, psychiatric, and psychosocial needs/problems and utilize clinically appropriate and evidence-based interventions to address specific goals. Modify the plan as necessary to reflect the needs of the client.
Provide case management services for a group of assigned people which includes coordinating and monitoring the Individual Treatment Plan for the team.
Provide ongoing assessment of clients' addictions and mental health and their response to treatment.
Page BreakProvide symptom education and illness management as prescribed by evidenced based practices or established guidelines.
Provide individual therapy/treatment and ongoing counseling to individuals, groups, or families as reflected in the Individual Treatment Plan.
Ensure clients' safety and priority social needs are met, including safe, affordable housing, adequate food, and clothing.
Assist clients to carry out daily living skills including personal hygiene, nutritional needs, shopping, and food preparation as well as house cleaning and laundry. Teach transportation skills, financial and budgeting skills.
Provide assistance with housing and benefits applications, including but not limited Coordinated Access, SSI/SSDI, and SNAP and participate in professional development to maintain benefits expertise.
Build strong relationships with clients, families, co-workers, and the surrounding community. Provide education to families and other identified natural supports.
Identifies gaps in service, barriers to treatment, and the acquisition of community resources. Advocates for the reduction of such barriers and for the development of services needed.
Provide crisis intervention and rapid support services to prevent hospitalization.
As needed, visit clients and potential clients who are in Emergency Departments or admitted to a hospital and assist with discharge planning and care coordination.
Provide on-call crisis intervention when assigned covering nighttime and weekend hours. Participate in BCORE-related meetings, client care conferences, training programs, etc. Keep up-to-date, quality services documentation following PEP, HMIS, and other approved policies and procedures.
Ensure timely and appropriate follow-up to referrals and excellent communication and coordination with referral partners.
Follow training in Housing First, Harm Reduction, Motivational Interviewing, Trauma/Resilience, Peer Support, Person-Centered Care Coordination/Case Management, Street Medicine, and other evidence-based practices.
Provide on-call and/or rotating shift duty as needed on nights and weekends and during emergencies.
Perform urinalysis and other lab work as clinically indicated.
PRINCIPAL ACCOUNTABILITIESClinically oriented Community Canvassing and Outreach Clinically effective treatment plans
Completion of pertinent client documentation Quality of engagement and clinical services Liaison with outside agencies,
Client well-being (clinical and physical)
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTSEducation: Master's degree in social work, or professional counseling
Skill Requirement: One to three months OJT required for efficient job performance.
Job Requirements:
Be a licensed Mental Health Professional in Maryland; minimum of LMSW or LGPC is required. LCSW-C or LCPC preferred. Supervision hours will be available as needed.Page BreakExperience in Mental Health, Substance Abuse and Community OutreachExhibit excellent organizational, problem solving, verbal and written communication skills.Must have a valid driver's license with no more than 4 points assessed.Access to a personal vehicle.Must have the ability to work independently with minimum supervisionCOMMENTS
Must exhibit knowledge of addiction treatment and experience working with unhoused populations.
NOTE: INFORMATION CONTAINED IN THIS DESCRIPTION IS A SUMMARY OF THE ASSIGNED DUTIES AND NOT INCLUSIVE OF ALL REQUIREMENTS IHA T MAY BE ASSIGNED. ADDITIONAL DUTIES MAY BE ASSIGNED ON AN AS NEEDED BASIS
Read LessPOSITION OVERVIEW:
The ACT Program & Business Coordinator serves as a full participant of the ACT Team and is responsible for organizing, coordinating, and monitoring all non-clinical and administrative operations of the program. Under the direction of the Program Manager, this position ensures the efficient operation of both business and program functions to support high-quality, community-based behavioral health services. The Coordinator manages the creation, storage, and flow of Protected Health Information (PHI), oversees accounting and budget records, maintains compliance with relevant regulations, and facilitates communication among staff, clients, and external stakeholders. This role ensures alignment with standards set by the Maryland Department of Health Behavioral Health Administration, Local Behavioral Health Authority, Administrative Service Organization, Core Service Agency, The Joint Commission, and other federal, state, or local contracting standards. Working in collaboration with the ACT Division Director, Program Manager, and interdisciplinary team members, the Coordinator promotes effective treatment delivery and operational excellence for ACT service clients.
SPECIFIC RESPONSIBILITES:
Administrative & Operational Coordination
· Organize, coordinate, and monitor daily ACT program operations and communications.
· Create, review, and analyze practice management and performance reports for corrective measures.
· Manage office and clinical supplies, equipment, and related vendor relationships.
· Maintain accounting, budget, and expenditure records for both individual clients and the program.
· Organizes and obtains service authorizations through the Administrative Service Organization (ASO), ensuring timely and accurate submissions.
· Gathers and submits outcome data in alignment with the program reporting requirements.
· Monitor and track individual treatment plans dates to ensure compliance.
· Collects and reports data on uninsured clients as required.
· Track and coordinate in conjunction with the psychiatrist
· Coordinate administrative functions and workflow between team members and leadership.
· Prepare materials and reports for the Behavioral Health Administration, Local Behavioral Health Authority, Administrative Service Organization, Core Service Agency, and Senior Staff.
· Implement and maintain compliance with all state licensing standards for ACT.
· Maintain daily service logs documenting client rosters and treatment encounters within the past 24 hours.
Team Coordination & Leadership
· Support team members in daily service delivery, ensuring client needs are met.
· Collaborate with the Program Manager to prepare data for daily meetings and ad hoc decisions.
· Participate in onboarding, and performance management of ACT team members.
· Share responsibility for day-to-day office operations and ensure smooth interdepartmental communication.
Client & Service Management
· Coordinate the intake of new clients alongside the Program Manager or intake specialist.
· Monitor and track individual treatment plans to ensure compliance with documentation and authorization timelines.
· Oversee medication management processes, including pharmacy coordination, delivery tracking, and voucher monitoring.
· Maintain positive relationships with local pharmacies and pharmaceutical representatives to ensure client medication needs are met.
· Collect and report data on uninsured clients and program outcomes as required.
· Provide culturally competent and trauma-informed services to clients and families.
Emergency Response & Compliance
· Provide emergency backup and crisis response support to team members as needed.
· Respond to incidents and produce reports in accordance with established protocols.
· Ensure the team operates within safety and compliance standards.
· Identify, recommend, and implement necessary services, equipment, and facilities improvements.
· Execute assigned projects and operational changes directed by senior leadership.
Qualifications
· AA degree, preferred bachelor’s degree: advanced education in healthcare administration preferred.
· Minimum of three years of administrative experience in a healthcare or behavioral health setting serving adults with serious mental illness.
· Minimum of two years of experience working on a multidisciplinary team.
· Strong understanding of behavioral health authorization processes and state compliance requirements.
· Excellent organizational, analytical, and communication skills.
· Proficiency with data management and reporting tools, Additional Information
This description is a summary of responsibilities and requirements for the ACT Program & Business Coordinator role. Duties and expectations may evolve to meet program needs and organizational priorities.
Read LessPOSITION OVERVIEW
Responsible for coordination of vocational assessment, development, and placement activities involved with clients the ACT Team. Responsible for educating candidates and staff about Vocational Services, Vocational funding sources, and all related employment resources.
SPECIFIC RESPONSIBILITIES
Review all incoming referrals and assessing candidates for vocational services.Provide Job Coaching, Vocational Evaluations and Work Adjustment Training.Monitor the quantity and quality of vocational services provided by staff members.Assist clients with obtaining the required documents required by employers (SS Card, ID etc)Provide individual vocational-supportive counseling and conduct a strengths and needs assessment of the person. Establish vocational goals and develop plans to attain them.Identify barriers as a result of a person’s mental health issues and develop strategies to overcome these issues.Provide services to teach job seeking skills.Hold client groups surrounding vocational support and advancement.Perform on the job and off the job site coaching problem solving, and support.Establish relationships with employers to develop jobs for ACT clients.Maintain relationships with DORS to access funding when a client is eligible.Provide benefits counseling and work with the team to assure financial viability in the community and maintenance of proper insurance for treatment of issues.Provide case management for an assigned primary caseload including coordinating and monitoring the activities of the individual treatment team; assume responsibility for developing, writing, implementing, evaluating, and revising overall treatment goals and plans in conjunction with the ITP; provide individual supportive counseling; assist in symptom management, ensuring immediate changes are made in the treatment plans as client’s needs change. Educate and support client’s families, and advocate for client rights and preferences.PRINCIPAL ACCOUNTABILITIES
Job development
Job coaching
Assess client strengths and needs for Vocational Services.
Vocational evaluations
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
Education: Bachelor Degree in Vocational Rehab or other Human Services field preferred and at least two years experience in vocational services/mental health field. One to two years supervisory experience.
Skill Requirement: One to three months OJT required for efficient job performance.
Job Requirements: Must have valid drivers license. Must have clean driving record. Must possess excellent written and organizational skills.
Read LessPlan and implement housing services for clients who have co-occurring mental illness and substance abuse disorders. Acts as a facilitator and resource person to consumers and other staff regarding the identification, development, and attainment of housing opportunities. Person will also be an expert in the maintenance of housing in the community and development of independent living skills. Performs other rehabilitation duties as assigned by Program Manager.
The position requires field foot work 80% of the time. Thie position is not for hybrid work.
RESPONSIBILITIES
- Assess participant needs for housing services.
- Meet the needs of clients in the areas of mental health and substance abuse education, prevention, recovery, and other related mental health rehabilitation areas.
- Organize and conduct structured group and individual activities that address client’s goals for housing.
- Provide specialized housing services to other staff members through clinical team meetings and individual conferences.
- Complete required documentation including, but not limited to housing plans, and clinical records.
- Participate in the Individual Treatment Planning process by assisting with client goal formulation, monitoring, and progress reporting.
- Perform direct service interventions as indicated in the ITP, and in coordination with other members of the treatment team.
- Assist in developing annual service goals and measuring and reporting progress.
- Identify the needs and sources(s) for housing resource materials and procure per Agency procedures.
- Establish and maintain communication and working relationships with other providers and leaders in the field to help assure housing resource availability and enhance the Agency’s working knowledge of housing issues.
- Obtain and document results of housing inspections for clients.
- Provide transportation to and from community meetings.
- Provide case management for an assigned group of clients including coordinating and monitoring the activities of the individual treatment team; assume responsibility for
developing, writing, implementing, evaluating, and revising overall treatment goals and plans in conjunction with the ITP; provide individual supportive counseling; assist in symptom management, ensuring immediate changes are made in the treatment plans as client’s needs change. Educate and support client’s families, and advocate for client rights and preferences.
- Conduct comprehensive assessment of all domains of a person’s life.
- Provide on call crisis intervention when assigned covering nighttime and weekend hours.
** Need someone with a good eye for detail; filing; focused; hardworking; flexible and patient with consumer is a desired candidate **
ACCOUNTABILITIES
Develop and identify housing opportunities for consumers.
Direct service to clients (individual and group)
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
Education: Bachelor’s Degree in mental health field preferred and/or three years equivalent work experience in mental health and / or substance abuse services.
Skill Requirement: Two to three months OJT required for efficient job performance.
Job Requirements: Must have a valid driver’s license. Must have a clean driving record.
Must have the ability to work independently with minimum supervision
The position requires field foot work 80% of the time. Thie position is not for hybrid work.
Read LessPlan and implement housing services for clients who have co-occurring mental illness and substance abuse disorders. Acts as a facilitator and resource person to consumers and other staff regarding the identification, development, and attainment of housing opportunities. Person will also be an expert in the maintenance of housing in the community and development of independent living skills. Performs other rehabilitation duties as assigned by Program Manager.
The position requires field foot work 80% of the time. Thie position is not for hybrid work.
RESPONSIBILITIES
- Assess participant needs for housing services.
- Meet the needs of clients in the areas of mental health and substance abuse education, prevention, recovery, and other related mental health rehabilitation areas.
- Organize and conduct structured group and individual activities that address client’s goals for housing.
- Provide specialized housing services to other staff members through clinical team meetings and individual conferences.
- Complete required documentation including, but not limited to housing plans, and clinical records.
- Participate in the Individual Treatment Planning process by assisting with client goal formulation, monitoring, and progress reporting.
- Perform direct service interventions as indicated in the ITP, and in coordination with other members of the treatment team.
- Assist in developing annual service goals and measuring and reporting progress.
- Identify the needs and sources(s) for housing resource materials and procure per Agency procedures.
- Establish and maintain communication and working relationships with other providers and leaders in the field to help assure housing resource availability and enhance the Agency’s working knowledge of housing issues.
- Obtain and document results of housing inspections for clients.
- Provide transportation to and from community meetings.
- Provide case management for an assigned group of clients including coordinating and monitoring the activities of the individual treatment team; assume responsibility for
developing, writing, implementing, evaluating, and revising overall treatment goals and plans in conjunction with the ITP; provide individual supportive counseling; assist in symptom management, ensuring immediate changes are made in the treatment plans as client’s needs change. Educate and support client’s families, and advocate for client rights and preferences.
- Conduct comprehensive assessment of all domains of a person’s life.
- Provide on call crisis intervention when assigned covering nighttime and weekend hours.
** Need someone with a good eye for detail; filing; focused; hardworking; flexible and patient with consumer is a desired candidate **
ACCOUNTABILITIES
Develop and identify housing opportunities for consumers.
Direct service to clients (individual and group)
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
Education: Bachelor’s Degree in mental health field preferred and/or three years equivalent work experience in mental health and / or substance abuse services.
Skill Requirement: Two to three months OJT required for efficient job performance.
Job Requirements: Must have a valid driver’s license. Must have a clean driving record.
Must have the ability to work independently with minimum supervision
The position requires field foot work 80% of the time. Thie position is not for hybrid work.
Read LessPOSITION OVERVIEW
The Health Home Director is responsible for providing comprehensive, person-centered care coordination services to clients enrolled in the Health Home program. This position ensures that individuals with chronic medical, behavioral health, or social needs receive integrated support, timely referrals, advocacy, and collaboration among service providers. The Care Manager works closely with members, families, community agencies, and healthcare providers to improve health outcomes and overall quality of life.
SPECIFIC RESPONSIBILITIES
· Conduct outreach, intake, and enrollment for eligible Health Home members.
· Complete comprehensive assessments and develop individualized care plans.
· Coordinate medical, behavioral health, and social service needs across multiple providers.
· Monitor members’ progress, update care plans, and adjust interventions as needed.
· Act as the primary point of contact for members, families, and providers, advocate for member needs, ensuring access to appropriate services and supports.
· Provide education on wellness, prevention, and self-management
· Facilitate communication among healthcare providers, community-based organizations, and payers.
· Participate in interdisciplinary team meetings.
· Ensure smooth transitions between levels of care (hospital discharges, residential programs, etc.).
· Maintain accurate and timely records in electronic health systems.
· Ensure all care management activities meet Health Home program standards, state requirements, and organizational policies.
· Track outcomes, quality measures, and service utilization.
· Identify high-risk situations and respond with appropriate interventions.
· Develop safety or crisis plans in collaboration with members and providers.
· Escalate concerns to supervisors or clinical leads when necessary.
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
Education Requirements: Bachelor’s degree in nursing, or related field.
Experience in case management, care coordination, behavioral health, or community services preferred.
Knowledge of medical, behavioral health, and social service systems. Strong communication, problem-solving, and organizational skills.
Job Requirements:
· Must possess excellent person-centered care, cultural sensitivity, crisis intervention, motivational interviewing, collaboration and relationship building.
· Time management and documentation accuracy.
· Must hold an current Maryland RN or NP license.
· Valid Maryland Driver’s License and access to a personal vehicle.
· Mileage expenses are reimbursable according to agency policy.
Read Less