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Care Coordinator
3 months ago
Weekly Pay Range - $1502 To $1668
Your role in our mission:Conduct assessments to identify individual member care needs and preferencesto provide high-quality care coordination.Collaborate with members/legal representative, health plan, and providers,community-based organizations (CBO), interpreters and others in to aidmembers in accessing dental care.Work with members and providers to coordinate necessary dental care.Leverage a variety of resources, or combination of resources, in order to assistthe member in coordinating care.Remove barriers to care such as assisting with appointments, transportation,language assistance.Identify members with special needs or other identified target populations thatare eligible for case management.Monitor members are actively receiving appropriate care/scheduled care andcomplete their goals.Maintain and record decisions, actions, and outcomes for members receivingcare coordination.Set up tasks, reminders and follow up on missed appointments.What we are looking for:A minimum of three (3) years of experience in a relevant Care Coordinationposition in the healthcare or insurance industry with Medicaid and/or Medicareknowledge and experience strongly desired.Clinical and/or Dental health experience is preferred. Strong knowledge of dentaltreatment authorization request processes, procedures, and documentation ispreferred. Strong knowledge of dental health management processes andprocedures to include treatment documentation, record keeping, and chartnarratives is required.Professional or personal experience supporting individuals with disabilities,chronic illnesses, or experiencing homelessness; including strong understandingof social determinants of health preferred.Familiarity with care coordination methodology and the ability to workindependently and in a team setting.Education and experience: Registered Dental Hygienist (RDH), BA,LMSW/LCSW/LMHC or RN/LPN degree preferred.Must be a resident of California.
