Job Description

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