JOB DESCRIPTION
Job Summary
Provides support for dental specific member care coordination activities, including referrals, scheduling and other administrative activities. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Conducts telephonic outreach to members who may need dental services coordination assistance.
- Verifies eligibility, enrollment history, demographic data, primary care physician and current health status of members.
- Assesses member needs for possible handoff to ongoing care management.
- Makes recommendations and/or referrals based on assessment and screening findings.
- Provides assistance and education of available dental related benefits and providers.
- Assists members in locating appropriate providers and/or making appointments as applicable.
- Accurately completes and maintains documentation related to member interactions, assessments/screener and provider contacts.
- Creates and completes timely follow-up with members.
- Establishes relationships with members, providers and interdisciplinary care team members.
- Reviews reports to identify members that may need dental coordination assistance.
- Collaborates with teams including healthcare services to facilitate coordination of member care related to dental services.
- Provides general administrative support related to coordination of member dental services including: accessing appointments, translation services and transportation assistance.
Required Qualifications
- At least 2 years experience in health care, preferably in a dental environment, or equivalent combination of relevant education and experience.
- Knowledge of medical terminology.
- Ability to gather information and coordinate workflows.
- Effective time-management and organizational skills.
- Critical thinking and active listening skills.
- Decision-making and problem-solving skills.
- Ability to work independently and within a team environment.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
- Previous dental, pediatric, and/or managed care experience.
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To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
