Care Transition Navigator- Surprise, AZ

Job Description

Job Description

CARE TRANSITION NAVIGATOR

INTEGRITY

• COMPASSION
• EXCELLENCE
• INNOVATION

POSITION SUMMARY :

The Care Transition Navigator (CTN) is responsible for guiding adult patients with behavioral health needs through the continuum of care as they transition from inpatient or intensive outpatient settings - such as hospitals, Assertive Community Treatment Teams (ACTT), and Intensive Outpatient Programs (IOP) - into community-based services.

The CTN serves as a vital connector between discharging facilities and outpatient care, working to minimize therapy abandonment, reduce readmissions, and improve continuity of care. This role involves proactive outreach, care coordination, and hands-on support to ensure patients receive timely follow-up appointments and uninterrupted access to prescribed medications.

The CTN collaborates closely with clinical teams, pharmacies, caregivers, and community-based organizations to address barriers to care, navigate insurance and medication access challenges, and promote long-term treatment adherence.

A successful Care Transition Navigator (CTN) will possess the skills and initiative required to achieve the following key performance objectives :

KEY RESPONSIBILITIES :

Discharge Planning and Outreach

Post-Discharge Coordination & Follow-Up

Insurance Navigation & Access Support

Appointment & Treatment Management

Social Determinants of Health & Community Support

Communication and Documentation

QUALIFICATIONS : Education :

Experience :

Skills & Competencies :

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS :