What are the responsibilities and job description for the Recovery Support Specialist (Case Manager) position at Spero Health?
Job Type
Full-time
Description
Spero Health is seeking a Recovery Support Specialist (Case Manager) to join our awesome teams in Owensboro, KY and Henderson, KY!
The Recovery Support Specialist (Case Manager) responsibilities include, but are not limited to the following:
RECOVERY SUPPORT SPECIALIST/CASE MANAGER EDUCATION:
https://sperohealth.com/
Full-time
Description
Spero Health is seeking a Recovery Support Specialist (Case Manager) to join our awesome teams in Owensboro, KY and Henderson, KY!
- This position will support both clinic sites: Owensboro, KY (Tue/Wed/Fri) and Henderson, KY (Mon/Thurs) ***
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 Master's Degree in Human Services
- 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.
- 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
- 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 https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp
- Opportunities for growth - we encourage our teammates to consider new growth opportunities with us
https://sperohealth.com/