Recovery Support Specialist (Case Manager)

Socket.dev; Somerset (KY); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental, HSA

Vision, Life and Disability insurance

Generous PTO and paid holidays

401(k) retirement program

Wellness Programs

EAP

Tickets at Work discounts

Job summary

Spero Health in Somerset, KY is seeking a Recovery Support Specialist/Case Manager to join an integrated care team. This role supports patients through counseling, case management, and medically assisted treatment, aiming to save lives and restore relationships.

Responsibilities include developing treatment plans, maintaining documentation for prior authorizations, and coordinating with the Authorization Team to ensure timely access to care.

Qualifications

• Experience or education in human services setting
• Strong ability to develop and monitor treatment plans
• Knowledge of payer prior authorization requirements and documentation requirements

Responsibilities

• Assess patient needs and barriers; tailor treatment plans
• Maintain up-to-date assessments and documentation for authorizations
• Submit and monitor prior authorization requests per payer rules
• Coordinate with Authorization Team and providers to minimize denials
• Advocate for patient access to services and resources
• Educate on daily living, budgeting, medication management
• Engage in recovery-oriented, patient-centered care
• Ensure timely documentation and HIPAA/CFR 42‑part‑2 compliance
• Collaborate with multidisciplinary team for continuity of care
• Engage in community outreach

Skills

Case management

Education

Bachelor’s or Master’s in Behavioral Science / Human Services

Master’s in Human Services

Job description

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 approvalMaintain 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 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/