MAT Patient Navigator​/Case Manager

Overview

POSITION TITLE: MAT Patient Navigator / Case Manager

DEPARTMENT: Quality Improvement Q.I.

REPORTS TO: CMO or BH Director

POSITION OVERVIEW:

The Patient Navigator will work closely with FHCCGLA’s C.M.O. and healthcare teams to improve coordination of patient care. The Patient Navigator will assist FHCCGLA patients by identifying their needs as per FHCCGLA’s Quality Improvement (Q.I./Q.A.) and HEDIS goals.

The Recovery Specialist provides comprehensive support to participants in the Substance Use Disorder (SUD) and Medication‑Assisted Treatment (MAT) programs, working collaboratively with SUD Counselors and clinical staff. This includes participant screening, documentation, facilitating groups (within scope), supporting appointment scheduling and transportation, onboarding new participants, and engaging with participants daily in their recovery process.

KEY PRIORITY:

• Conduct outreach to external agencies, including residential rehabs, shelters, jails, schools, and churches, to educate them about MAT services and connect potential patients to the clinic
• Establish and maintain partnerships with community organizations to strengthen referral pathways
• Ensure patients complete all required labs and urine drug tests prior to scheduled MAT visits
• Coordinate and schedule all necessary follow-up appointments as directed by the clinician
• Maintain contact with patients to ensure attendance at scheduled appointments; assist with transportation arrangements as needed
• Coordinate closely with the pharmacy to ensure patients receive their medication in a timely manner
• Support the expansion of MAT services, including facilitating a half-day MAT clinic at each site monthly, once provider training is completed
• Assist in arranging education and training for providers and staff through expert‑let sessions, with the goal of fostering a supportive, stigma‑free environment for patients with SUD; and
• Represent FHCCGLA at community events and regional health fairs to promote MAT services and increase program visibility

DUTIES/RESPONSIBILITIES:

• Greet all clients, visitors, and other contacts from the general public.
• Conduct brief conversations with patient and family member(s) as applicable to provide instructions or health education information (e.g., fecal occult instructions, etc.) as needed.
• Patient navigator will pull GAP Reports, i2i Tracks System, and Next Gen Reports to determine which patients are due for various preventive care health maintenance measures and follow-up.
• Makes contact attempts to patients as directed following FHCCGLA’s Q.I./Q.A. & HEDIS goals and objectives.
• Assists clients from diverse cultural backgrounds in understanding the health system in terms of, access or limits to services.
• Maintains communication with FHCCGLA providers both verbally or by setting up communication flags through the E.H.R.
• Undertakes continuous self‑improvement, attending applicable training, seminars, in‑services, and educational classes to maintain skills competency and current knowledge for standard of care and effective practices.
• Responsible for following all agency safety and health standards, regulations, procedures, policies, and practices.
• Identifies, initiates, and implements measures to deliver high quality care to patients and improve services.
• Responds efficiently and timely to all patient and provider staff needs and inquiries.
• Ensures excellent customer service to all FHCCGLA patients.
• Works with the operations managers to manage patient scheduling and flow to address bottlenecks, scheduling issues, etc.
• Handles patient grievances according to FHCCGLA’s Policy & Procedure.
• Assists in developing, updates & reviews of FHCCGLA Policies & Procedures (P&P’s) as needed (with input from all other key personnel).
• Ensures HIPAA compliance by maintaining strict confidentiality of all patient data and E.H.R./Practice Management System (PMS) according to regulations and FHCCGLA’s P&P’s.
• Attends the following meetings/trainings:
• Mandatory Quarterly Staff Meeting/Trainings
  - Quarterly (Jan., Apr., Jul. & Oct.)
• Corporate Risk Management Meeting
  - Quarterly (Jan., Apr., Jul. & Oct.), as needed (advanced notice will be provided…