AOT Case Manager; Glen Burnie, MD

Job Title: Assistant Outpatient Treatment (AOT) Case Manager
Salary/Hourly Rate: $60,000 – $70,000 per year
Position Status: Full-Time
Location: Glen Burnie, MD

The AOT Case Manager provides intensive, community-based case management services to individuals enrolled in Lead4

Life’s Assisted Outpatient Treatment (AOT) Program. This position serves as a primary point of contact for assigned AOT participants and is responsible for ensuring each individual maintains compliance with their court-ordered treatment plan as governed by Maryland COMAR 10.21.20. The Case Manager facilitates access to psychiatric treatment, housing, public benefits, community supports, and other resources essential to stabilization and long-term recovery.

Through consistent field-based engagement, individualized service planning, and collaborative teamwork, the AOT Case Manager plays a critical role in reducing hospitalization, homelessness, and involvement with the criminal justice system among individuals with serious mental illness. This role embodies Lead4

Life’s commitment to compassionate, equitable, and recovery-oriented community-based care.

• Conduct comprehensive biopsychosocial needs assessments for all assigned AOT participants upon enrollment and at minimum every six months thereafter, in compliance with COMAR 10.21.20 treatment planning requirements.
• Develop, implement, monitor, and update individualized service plans (ISPs) in collaboration with participants, treatment team members, and court personnel, ensuring plans are person-centered, strengths-based, and goal-oriented.
• Conduct regular community outreach and home visits to engage and monitor participants, including individuals who are homeless, unstably housed, or otherwise difficult to reach.
• Facilitate enrollment in and maintenance of public benefits including SSI, SSDI, Maryland Medicaid, Health Choice, and other entitlement programs to support long-term financial stability and healthcare access.
• Provide housing navigation services, including referrals to emergency shelters, transitional housing, supportive housing programs, and coordination with Maryland’s Housing and Community Development resources.
• Monitor and document each participant’s compliance with all components of their court-ordered AOT treatment plan, including psychiatric appointments, medication adherence, and community service engagement, in accordance with COMAR 10.21.20.
• Coordinate care with AOT Psychiatrist, primary care physicians, substance use treatment providers, and other medical and behavioral health clinicians to ensure integrated service delivery consistent with COMAR 10.21.17 community-based service standards.
• Respond to and document crisis situations, implementing individualized crisis plans and coordinating with Mobile Crisis Teams, emergency departments, and psychiatric inpatient facilities as clinically appropriate.
• Prepare written court compliance reports for submission to the Court Liaison prior to all scheduled AOT hearings, accurately reflecting participant progress, challenges, and engagement status.
• Maintain timely, complete, and accurate case notes, service plans, and all required documentation in the agency electronic health record (EHR), consistent with Maryland Medicaid billing standards and COMAR 10.21.20 documentation requirements.
• Transport or coordinate transportation for participants to psychiatric appointments, court hearings, and community services as needed, adhering to Lead4
  
  Life vehicle safety and participant confidentiality policies.
• Facilitate warm referrals and transitions to community resources, peer support services, vocational rehabilitation, and educational programs that promote…