Dental Consultant Specialist

3 weeks ago


Orange, California, United States Sonrava Health Full time
Overview:
At Sonrava Health, we are seeking a highly skilled Dental Consultant Specialist to join our Quality Management Team. This role is responsible for performing clinical chart reviews, providing mentoring to our dentists, and contributing to the improvement of our dental services.

Responsibilities:
• Reviews dental charts for potential quality issues and provides recommendations for improvement.
• Assesses referral, pre-authorizations, and claims requests for accuracy and compliance with regulations.
• Investigates patient/member grievances and assists in preparing resolutions.
• Participates in committees and activities related to credentialing, peer review, quality improvement, utilization review, and other initiatives as needed.
• Provides clinical mentoring to company-employed and contracted dentists, promoting excellence in patient care and adherence to best practices.

Qualifications:
A minimum of 5 years of clinical experience is required, along with an active, unencumbered California Dental License. CADP Certified Auditor certification is also preferred. The ideal candidate will possess excellent communication skills, both verbal and written, and be proficient in Microsoft Office (Word, Excel, and Outlook).

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