The Children's Guild Outpatient Mental Health Center (OMHC) is part of The Children's Guild — a nonprofit organization dedicated to transforming how America educates and cares for its children. Our OMHC provides evidence-based, trauma-informed outpatient mental health services to children, adolescents, and families across the Greater Baltimore/Washington region. We believe that mental health and academic success are inseparable — and our OMHC is a critical pillar of our wraparound continuum of care.
The Outpatient Mental Health Clinician & Service Delivery Coordinator is a dual-role position that combines direct clinical service delivery with administrative coordination responsibilities. In the clinical capacity, this position provides individual, family, and group therapy to children, adolescents, and families experiencing mental health challenges. In the service delivery coordinator capacity, this position supports the operational efficiency of the OMHC — including scheduling, service authorization, documentation oversight, referral management, and coordination of care across internal programs and external providers. This role is ideal for a licensed clinician who brings both strong therapeutic skills and organizational leadership instincts.
Provide individual, family, and group psychotherapy to children, adolescents, and families with diverse mental health needs including trauma, anxiety, depression, behavioral disorders, and co-occurring conditions
Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans aligned to client goals and evidence-based best practices
Implement evidence-based therapeutic modalities including Trauma-Focused CBT (TF-CBT), Motivational Interviewing, DBT-informed practice, and other clinically appropriate frameworks
Monitor and document client progress toward treatment goals and adjust treatment plans as clinically indicated
Facilitate group therapy sessions as assigned — including psychoeducational, process, and skills-based groups
Provide crisis intervention services and safety planning for clients experiencing acute mental health crises
Collaborate with psychiatrists, prescribers, and medical providers to coordinate integrated care for clients with co-occurring medical and mental health needs
Provide mandated reporting as required by Maryland law for any suspected abuse or neglect
Treatment Documentation & Compliance
Complete all required clinical documentation accurately and within required timeframes — including intake assessments, treatment plans, progress notes, discharge summaries, and prior authorization requests
Ensure all documentation meets COMAR, CARF, and OMHC regulatory and licensing standards
Maintain client records in the electronic health record (EHR) system in accordance with HIPAA and agency policies
Participate in clinical supervision, peer consultation, and quality assurance reviews
Scheduling & Access to Care
Manage and maintain the OMHC client scheduling system — including new client intake appointments, ongoing therapy sessions, group schedules, and provider availability
Coordinate client waitlist management — prioritizing access based on clinical urgency and service availability
Monitor scheduling gaps and work proactively with clinical staff to maximize service delivery capacity
Ensure timely scheduling of initial appointments for new referrals — target first appointment within established access-to-care timelines
Referral Management & Care Coordination
Receive, screen, and process incoming referrals from schools, hospitals, community partners, and self-referrals
Coordinate warm handoffs and transitions of care between OMHC services and other Children's Guild programs — including therapeutic schools, group homes, and TFC
Maintain relationships with external referral sources and community partners — including pediatricians, school counselors, DCS, and community mental health organizations
Facilitate coordination of care with outside providers — including psychiatrists, hospitals, PCPs, and specialized service providers
Authorization & Billing Coordination
Initiate and manage insurance authorizations for outpatient mental health services — including initial authorizations, concurrent reviews, and appeals
Coordinate with the billing department to ensure accurate and timely submission of claims
Monitor authorization expirations and initiate renewals proactively to prevent gaps in service
Assist clients and families in navigating insurance coverage, Medicaid eligibility, and financial assistance options
Quality & Operational Oversight
Track and report key OMHC service delivery metrics — including no-show rates, wait times, authorization approval rates, and client retention
Identify operational gaps and recommend process improvements to enhance service delivery efficiency and client experience
Support preparation for OMHC regulatory audits, CARF accreditation reviews, and licensing site visits
Assist in onboarding new clinical staff to OMHC scheduling, documentation, and authorization systems
Team Communication & Collaboration
Serve as a communication bridge between clinical staff, administrative staff, billing, and leadership
Facilitate regular coordination meetings between clinical and administrative teams
Support clinical director with staff scheduling, coverage planning, and operational reporting
Master's degree in Social Work, Counseling, Psychology, or a related clinical field
Active Maryland licensure — LMSW, LGPC, LCSW, or LCPC required
Minimum 2 years of direct clinical experience in an outpatient or community mental health setting
Experience with children, adolescents, and families with complex mental health and trauma histories
Knowledge of COMAR OMHC regulations, HIPAA, and mental health documentation standards
Strong organizational, communication, and multitasking skills
Experience with electronic health record (EHR) systems
Ability to manage competing priorities across clinical and administrative responsibilities
Experience in a dual clinical/administrative or clinical coordinator role
Familiarity with Medicaid billing, prior authorization processes, and insurance coordination
CARF accreditation experience
Experience with trauma-informed care frameworks — TF-CBT, DBT, Motivational Interviewing
Bilingual (English/Spanish) a plus
Clinical excellence — commitment to evidence-based, trauma-informed, and culturally responsive therapeutic practice
Organizational agility — ability to manage a complex caseload alongside operational responsibilities with precision and efficiency
Collaborative leadership — builds strong relationships across clinical, administrative, and community partner teams
Mission alignment — deeply committed to expanding access to mental health services for children and families from underserved communities
Resilience & adaptability — remains calm, flexible, and solution-focused in a fast-paced clinical environment
Equity-centered practice — committed to culturally responsive care and reducing barriers to mental health access
