Recovery Support Specialist (Case Manager)

Spero Health, Inc.; Barbourville, Williamsburg (KY, KY); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, and Health Savings

Vision, Life and Disability insurance

401(k) retirement program with company

Paid time off and holidays

EAP

Job summary

Spero Health is seeking a Recovery Support Specialist/Case Manager to join our Barbourville, KY and Williamsburg, KY teams. This role supports integrated care with counseling, case management, and medically assisted treatment while focusing on the whole patient in a collaborative health system.

The position emphasizes treatment planning, payer communication, and timely documentation to maintain care access, while promoting recovery-oriented, patient-centered services in a multidisciplinary team.

Qualifications

• Bachelor of arts or science degree in a behavioral science or a Master’s Degree in Human Services.
• 1 year of full-time employment/internship in a human-services setting OR Master’s Degree.
• Professional standards and compliance with HIPAA and CFR 42 part 2.

Responsibilities

• Assess patient needs and barriers and develop treatment plans.
• Maintain documentation for prior authorizations and reauthorizations.
• Advocate for patient needs and connect with community resources.

Skills

Assess patient needs

Care coordination

HIPAA compliance

Team collaboration

Education

Bachelor or Master in Behavioral Sciences

Tools

Electronic Health Records (EHR)

Job description

Spero Health is seeking a Recovery Support Specialist (Case Manager) to join our awesome teams in Barbourville, KY and Williamsburg, KY!

This position will support both clinic sites: Barbourville, KY and Williamsburg, 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 holidays401(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 https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp

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

https://sperohealth.com/