Impactful Recovery Support Specialist & Case Manager

Spero Health, Inc.; Henderson, Northern (KY, KY); Hybrid; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, and Health Savings账户

Vision, Life and Disability insurance

Generous PTO and paid holidays

401(k) retirement program with company

Wellness Programs (Fitness Reim­burse­

Employee Assistance Program (EAP)

Discounts via Tickets at Work

STAR loan forgiveness programs

Job summary

Spero Health is seeking a Recovery Support Specialist/Case Manager to join our Owensboro, KY and Henderson, KY teams. You will assess patient needs, develop treatment plans, and coordinate care across counseling, case management, and medical support in an integrated setting.

Responsibilities include documenting care, managing prior authorizations, advocating for services, connecting patients with resources, and ensuring HIPAA compliance while collaborating with a multidisciplinary team to

Qualifications

• 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 in a human-services setting OR Master's Degree in behavioral science.

Responsibilities

• 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

Education

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

Job description

Spero Health is seeking a Recovery Support Specialist/Case Manager to join our Owensboro, KY and Henderson, KY teams. You will assess patient needs, develop treatment plans, and coordinate care across counseling, case management, and medical support in an integrated setting.

Responsibilities include documenting care, managing prior authorizations, advocating for services, connecting patients with resources, and ensuring HIPAA compliance while collaborating with a multidisciplinary team to