Psych Discharge Care Navigator

Appalachian Regional Healthcare, Inc.

  • Lexington, Kentucky
  • 16 days ago
  • Full-time
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Skills

  • Access Authorizationunmatched
  • Analysis Skillsunmatched
  • Behavioral Healthunmatched
  • Billingunmatched
  • Drug Manufacturingunmatched
  • Healthcare Providersunmatched
  • Medicationsunmatched
  • Operational Auditunmatched
  • Outpatient Careunmatched
  • Patient Careunmatched
  • Patient Follow-upunmatched
  • Payment Processingunmatched
  • Pharmacyunmatched
  • Prescription Drugsunmatched
  • Project/Program Coordinationunmatched
  • Psychiatry and Mental Healthunmatched
  • Record Keepingunmatched
  • Statisticsunmatched
  • Time Managementunmatched

Description

Overview:

The Psych Discharge Care Navigator ensures timely and comprehensive access to psychiatric medications
for patients transitioning from inpatient, outpatient, or crisis-level care. This role specializes in prior
authorizations, medication access program navigation, and coordinating follow-up care for patients
prescribed long-acting injectable (LAI) therapies. The specialist works closely with pharmacy, behavioral
health, 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 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;

 

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 of
problems;

 

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

Numbers & Facts

LocationLexington, Kentucky
Job TypeFull-time

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