Recovery Support Specialist (Case Manager)

Spero Health

Job Type

Full-time

Description

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 someone's 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

Requirements

RECOVERY SUPPORT SPECIALIST/CASE MANAGER EDUCATION :

Bachelor of arts or science degree in a behavioral science or a Master's 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 Master's 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

RECOVERY 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

Apply

Vacancy posted 14 hours ago

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