Recovery Support Specialist (Case Manager)

Spero Health is seeking a Recovery Support Specialist (Case Manager) to join our awesome team in Somerset KY!

This position is for a Recovery Support Specialist (Case Manager) who supports the mission of Saving Lives Instilling Hope and Restoring Relationships in an integrated team with patients receiving counseling case management and medically assisted treatment. Spero Health believes better outcomes are achieved when you treat the whole person through integrated care. If you are looking for a career where you can make a difference in someones life Spero Health is the right place for you!

The Recovery Support Specialist (Case Manager) responsibilities include but are not limited to the following:

• Assess patient needs and barriers
• Develop and implement the treatment plan in collaboration with the patient
• Maintain current assessments treatment plans and supporting clinical documentation required for prior authorization submissions continued stay reviews and reauthorizations
• Prepare submit and monitor prior authorization requests in accordance with payer requirements and organizational policies
• Respond promptly to requests for additional clinical information and collaborate with the Authorization Team providers and clinic leadership to ensure payer approval
• Maintain knowledge of payer-specific authorization requirements medical necessity criteria and organizational workflows to ensure timely access to care and minimize authorization denials
• Advocate on behalf of the patient for needed services and benefits
• Connect patients with appropriate resources and assist them with obtaining their needs such as transportation medical assistance etc.
• Provide education modeling and support in the areas of daily living budgeting money management and medication management
• Engage patient in recovery-oriented patient centered care in accordance with professional standards of practice
• Complete required Documentation in an appropriate and timely manner
• Ensuring compliance with HIPPA and CFR 42 part 2 regulations
• Collaboration with all members of the multidisciplinary team to enhance patient experience and continuity of care
• Community Outreach as applicable

RECOVERY SUPPORT SPECIALIST/CASE MANAGER EDUCATION:

• Bachelor of arts or science degree in a behavioral science or a Masters Degree in Human Services

RECOVERY SUPPORT SPECIALIST/CASE MANAGER EXPERIENCE:

• Minimum of 1 year of full-time employment/internship working in a human-services setting OR Masters Degree in behavioral science as defined above.

RECOVERY SUPPORT SPECIALIST/CASE MANAGER BENEFITS:

• Medical Dental and Health Savings Account
• Vision Life and Disability insurance (100% Company Paid)
• Generous PTO and paid holidays
• 401(k) retirement program with company match
• Wellness Programs (Fitness Reimbursement & Smoking Cessation)
• Employee Assistance Program (EAP)
• Discounts via Tickets at Work

RECOVERY SUPPORT SPECIALIST/CASE MANAGER LOAN FORGIVENESS PROGRAMS:

• Spero Health is a STAR (Substance Use Disorder Treatment and Recovery) approved organization. This means our clinicians will have access to help pay off federal student loans so they can focus on what they do best: patient care!
• Please see the website at SUPPORT SPECIALIST/CASE MANAGER CAREER DEVELOPMENT AND GROWTH
  • Opportunities for growth - we encourage our teammates to consider new growth opportunities with us

  Check out our website below for more information

  Experience:

  Manager