Recovery Support Specialist (Case Manager)

Spero Health•Louisville, KY

7d•Onsite

About The Position

Spero Health is seeking a Recovery Support Specialist to join our awesome team in Louisville, 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!

Requirements

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.

Responsibilities

Assess patient needs and barriers
Develop and implement the treatment plan in collaboration with the patient
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
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.