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Coordinator, Dental Program (Must reside near Detroit, MI)

Remote role Full-time Open position

Job Description

Job Summary The Dental Coordinator assists to connect Molina members with necessary dental services and coordinate as needed. They would help members who maybe need assistance scheduling or locating a dental provider. Case Management services are intended for members with significant medical, physical, dental, and/or behavioral diagnosis or diagnoses. Referrals for the dental program coordinator may be initiated by the member, member’s medical provider, dental provider, Case Manager, Call Center, or healthcare care professional and are based on a current, comprehensive evaluation and treatment plan. Care coordination services from the Dental Coordinator allow Medi-Cal members to call and gain access to extended dental services, assist members with locating a general or specialist dentist, accessing appointments, translation services, and transportation assistance. Knowledge/Skills/Abilities

  • Conducts telephonic outreach to members who may need dental coordination assistance
  • Verify eligibility, enrollment history, demographic data, primary care physician, and current health status of members
  • Assess members needs for possible handoff to ongoing Case Management
  • Makes recommendations &/or referrals based on assessment/screening findings
  • Assist in education of available benefits and dental providers
  • Will assist members in locating appropriate providers and/or making appointments, as applicable
  • Accurately completes and maintain documentation related to member interaction, assessment/screener and provider contacts
  • Creates and completes timely follow-up with members
  • Establishes relationships with members, providers, and interdisciplinary care team members
  • Responsible to review reports to identify members that may need dental coordination assistance
  • Collaborate with other individuals within HCS and other departments
  • Provide general administrative support for the Health Services team
  • Perform any other job-related tasks, as requested

Job Qualifications Education and Experience Requirements:

  • High school diploma or general equivalency degree (GED) is required
  • Associates Degree or greater is preferred
  • A minimum of two (2) years of healthcare experience is required
  • Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred

Required Competencies / Knowledge / Skills

  • Compassion to serve people and make a difference in people’s lives
  • Typing a minimum of 35wpm proficiently
  • Ability to talk and data enter simultaneously
  • Intermediate proficiency level with Microsoft Office products, including Word and Excel
  • Knowledge of medical terminology is required
  • Ability to gather work related information and coordinate workflow and assist Health Services team
  • Effective oral & written communication skills
  • Able to work independently and within a team environment
  • Effective time management and organizational skills
  • Critical listening and thinking skills
  • Decision making/problem solving skills

Physical Demands Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp Pay Range: $21.16 - $38.37 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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