Psych Discharge Care Navigator

Overview

The Psych Discharge Care Navigator ensures timely and comprehensive access to psychiatric medicationsfor patients transitioning from inpatient, outpatient, or crisis-level care. This role specializes in priorauthorizations, medication access program navigation, and coordinating follow-up care for patientsprescribed long-acting injectable (LAI) therapies. The specialist works closely with pharmacy, behavioralhealth, and care management teams to reduce treatment gaps and improve continuity of care.

Responsibilities

• Serve as the primary expert on psychiatric medication access, including prior authorizations, psych statebilling, step therapy processes, appeals, and manufacturer assistance programs;
• Maintain up‑to‑date knowledge of manufacturer indigent drug programs, behavioral health medicationaccess criteria, and required clinical documentation; Identifies appropriate follow‑up care for patients receiving LAI antipsychotic therapies, includingscheduling next‑dose appointments, verifying site-of-care availability, and ensuring medicationprocurement through insurance or assistance programs; Make structured follow‑up contacts to recently discharged psychiatric patients to verify medicationpick‑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 theARH continuum;
• Collaborate with behavioral health providers, discharge planners, and care managers to ensure medicationplans 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;
• Assist patients and caregivers with navigating behavioral health medication costs, payment requirements,and access programs.
• Assist patients in processing payment requirement;
• Assist in the completion of paperwork for medication access programs; Maintains records and statistics for the purpose of evaluation and program analysis; Investigates and analyzes critical operational situations and provides directions for the resolution ofproblems; Performs other related duties as assigned.

Qualifications

EDUCATION, TRAINING, AND EXPERIENCE: High School Diploma or GED equivalent.Must be a registered pharmacy technician.At least 3 years of experience or an Associate’s Degree