Role Description
As a Certified Recovery Specialist, you will follow defined processes and protocols to ensure our patients receive consistent, high-quality care. You will engage directly with Ophelia patients, providing holistic support across a wide range of areas, including:
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Resource Connection:
Helping patients access vital community resources, benefits and social services.
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Care Navigation:
Clarifying care plans and helping patients stay actively engaged in their treatment.
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Clinical Partnership:
Working closely with the clinical team to flag concerns early and facilitate warm handoffs and referrals that actually land.
What Success Looks Like:
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This is a good fit for someone who is comfortable building trust with patients through consistent, purposeful contact over time.
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Understanding that in a virtual care setting, good documentation is part of good care.
Reporting Structure:
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This role reports to the Program Manager for Care Navigation.
In this role, you will:
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Manage an active caseload of patients with open social needs, developing and maintaining individualized care plans.
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Reach patients by SMS and phone to assess needs, clarify barriers, and keep cases moving β building rapport through consistency, but maintaining efficiency and ease for the patient.
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Research targeted resources for each patient based on their specific situation, like insurance status, location, income, and the actual barrier theyβre facing.
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Follow cases through to confirmed resolution.
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Practice active listening, empathy, and solution-focused approaches to collaboratively engage with patients seeking support on a wide range of issues.
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Prioritize effectively across multiple channels: switching between calls, messages, meetings, texts, and Slack to deliver patient-centered care.
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Interact and problem-solve with multi-disciplinary teams such as Enrollment Coordinators, Financial Counselors, Clinicians and Tech team to ensure a safe and excellent patient experience.
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Resolve issues related to prescriptions and insurance/pharmacy authorizations.
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Follow Ophelia's policies and maintain all confidentiality, compliance, and ethical standards.
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Work autonomously and as part of a team within established procedures and practices.
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Consistently practice our cultural values: champion our patients, communicate with kindness, learn and share freely, and get results.
Qualifications
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An attention to detail, and a commitment to high quality documentation to deliver a seamless patient journey through care navigation.
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An ability to move patients along a care continuum, from identifying a barrier to full issue resolution; with steps clearly and concisely documented and communicated along the way.
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Experience delivering outstanding patient experience or customer support, ideally at a telehealth or direct to patient healthcare company.
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Experience de-escalating highly emotional conversations and communicating with empathy and respect to vulnerable patient populations.
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A collaborative mindset and ability to build rapport in a remote first work environment.
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High integrity, honesty, ability to build trust and maintain a strong sense of accountability.
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A bias for action and getting things done: proactively taking on work without prompting, swiftly implement solutions, and achieving results efficiently and effectively.
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Experience solving problems that do not have clear or obvious solutions.
Requirements
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Meets criteria for CRS as outlined below, or has CRS certification already.
Important Role Note:
We are looking for someone who is, or is willing to become a Certified Recovery Specialist. If needed, we will reimburse training costs for certification. Please note that there are several requirements to enroll in a Certified Recovery Specialist program:
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Must either live or work in Pennsylvania.
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A minimum of 18 months of recovery in a continuous manner of personal, lived experience.
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Minimum high school diploma/GED. Veterans may provide discharge documentation in lieu of a high school diploma/GED.
Benefits
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Competitive medical, vision, and health insurance (many plans are fully covered for the employee!).
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Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure.
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10 company holidays.
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Work From Home Stipend.
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401k Contribution Platform.
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Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!
Company Description
Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.