Medication Assisted Treatment (MAT) Care Manager

Pathways to Housing PA, Integrated Care

Position Summary: The MAT Care Manager is responsible for coordinating recovery and treatment services for participants with opioid use disorder (OUD) at the Pathways to Housing Integrated Care Clinic and in community-based settings.  The MAT Care Manager will work closely with the PTHPA Integrated Care Clinic Medication Assisted Treatment Program and the integrated care and non-fidelity ACT team staff to providing flexible, compassionate, community-based services that are designed to promote the stability, recovery and community reintegration of formerly homeless individuals who have a mental illness and/or co-occurring substance use disorders. This position will spend the majority of their time supporting Participants in the community with services that may include, but are not limited to, referral and linkage services, supporting individuals in making positive changes in line with their personal goals, and increasing adherence to available supports, such as Medication Assisted Treatment (MAT) and/or other available supports. The MAT Care Manager is a self-starter who will bring expertise in the area of harm reduction and substance use disorder (SUD) outreach and engagement.


Essential Duties and Responsibilities:        

  • Provide care management and education to participants with substance abuse disorders who are interested in recovery and medication assisted treatment
  • Support participants across the spectrum of recovery, including with intakes to MAT services at the Integrated Care Clinic or at community sites, including methadone clinics
  • Support with organizing and/or facilitating support groups around MAT and MAT services
  • Perform comprehensive and ongoing substance abuse assessments for all participants
  • Support with study intakes related to ongoing research at the Integrated Care Clinic
  • Coordinate reporting across agencies, document and track services provided, and support the submission of monthly Center of Excellence reports
  • Collaborate with participants and non-fidelity ACT team members in the formulation of a comprehensive service plan that is reviewed and modified with that person on a regular basis
  • Collaborate with other medical clinic team members and non-fidelity ACT team members to provide continuity of care, i.e. coordination of urine/bloodwork analysis, required paperwork, and other required treatment services
  • Coordinate services around MAT prescriptions, prior authorizations, clinic scheduling and refill requests.
  • Provide individually tailored consumer-driven services to each client. Maintain written and computerized records, compile reports and complete other program documentation (including case notes, medical records, letters, evaluations, etc.)
  • Coordinate and monitor workflow for medication assisted treatment
  • Provide crisis intervention services in collaboration with medical, nursing and team members as necessary
  • Other duties as assigned

Essential Education, Experience and Skills:

  • Patience, creativity, flexibility, compassion, and sensitivity to persons with disabilities and other minority populations
  • Career experience in social services, supported housing, or with persons with disabilities
  • Excellent communication, writing, and computer skills
  • Ability to work with diverse populations including clients and staff in critical and emergency situations
  • Proven ability to work independently as well as collaboratively with management, physicians, clinicians, admissions and members of interdisciplinary teams
  • Assist with creating and strengthening referral relationships
  • Sensitive to cultural, economic, gender, and sexual orientation differences
  • Bilingual (Spanish) a plus
  • Valid driver's license and clean driving record
  • BA/BS in Psychology, Social Work or related field preferred with two years professional work experience dedicated to working with individuals with substance use disorders, or Certified Recovery Coach with four years professional work experience dedicated to working with individuals with substance use disorders
  • ASAM Certification or CADC Certification preferred (if applicable)

Measures for Success

  • Conduct 50 qualified COE visits per month
  • Maintain 90% compliance on all internal quality improvement audits of clinical documentation

Supervisory Responsibilities:

Physical Demands and Work Environment
Community environment.  Some light lifting is required.  Constant interaction with agency clientele.

Salary: $42,000 annually