Psych Discharge Care Navigator

Responsibilities

• Serve as the primary expert on psychiatric medication access, including prior authorizations, psych state billing, step therapy processes, appeals, and manufacturer assistance programs;
• Maintain up-to-date knowledge of manufacturer indigent drug programs, behavioral health medication access criteria, and required clinical documentation;
• Identifies appropriate follow-up care for patients receiving LAI antipsychotic therapies, including scheduling next-dose appointments, verifying site-of-care availability, and ensuring medication procurement through insurance or assistance programs;
• Make structured follow-up contacts to recently discharged psychiatric patients to verify medication pick-up, prior authorization status, LAI follow-up adherence, and access barriers;
• Work collaboratively with care providers to coordinate and plan the access to care for patients across the ARH continuum;
• Collaborate with behavioral health providers, discharge planners, and care managers to ensure medication plans are fully accessible prior to patient discharge;
• Coordinate with local pharmacy and behavioral health teams to ensure seamless prescription processing, refills, and delivery when appropriate;
• Aid patients and caregivers with navigating behavioral health medication costs, payment requirements, and access programs.
• Assist patients in processing payment requirements;
• Assist in the completion of paperwork for medication access programs;

Qualifications

• High School Diploma or GED equivalent;
• Must be a registered pharmacy technician;
• At least 3 years of experience or an Associate’s Degree.