Case Management Coordinator (Must Reside in New York)

Liberty Dental Plan Careers•Albany, NY

3d•Remote

About The Position

Join Liberty Dental Plan as a Case Management Coordinator, making a real impact in your New York community by helping members access the dental care they need. The Case Management Coordinator provides confidential, unbiased assistance to Liberty Dental Plan Medicaid enrollees in need of dental services who also have co-morbid special health care needs. The CMC supports enrollees by facilitating access to dental benefits, resolving barriers to care, and collaborating across divisions and external organizations to ensure holistic, quality service delivery.

Requirements

Associate degree or equivalent years of administrative experience required.
Proficient in Microsoft Excel, Word, and Outlook.
Strong verbal and written communication skills with the ability to compose comprehensive responses.
Strong critical thinking and problem-solving skills.
Excellent customer service and interpersonal skills.
Ability to work independently and collaboratively in a remote environment.
Candidates must live in New York.

Nice To Haves

2+ years of experience in dental field preferred
insurance experience highly desired
Registered Dental Hygienist (RDH) or Registered Dental Assistant (RDA) certification is a plus.
Bilingual in Spanish preferred (must be able to pass a dental terminology exam if applicable).
Knowledge of medical terminology preferred.

Responsibilities

Inform enrollees of available covered dental benefits.
Assist enrollees in resolving conflicts and barriers to obtaining dental care.
Support enrollees in securing dental services and provide education on their rights and responsibilities.
Guide enrollees in accessing Liberty’s complaints, appeals, and grievance processes.
Document cases and events accurately in Health Solutions Plus (HSP).
Manage telephone and email inquiries regarding services, dissatisfaction, and second opinions.
Educate enrollees on the Liberty Care Coordination Program.
Research and respond to inquiries, providing comprehensive written responses as needed.
Meet required turnaround times for cases and inquiries through various communication channels.
Collaborate effectively in a remote work environment with internal teams such as Member Services, Provider Relations, Claims, Grievances, Staff Dentists, and Leadership.
Interface with external entities including dental offices, health plan care coordinators, transportation vendors, hospitals, and community organizations.
Perform other duties as assigned.

Benefits

Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents.
Vision insurance with low-cost premiums for employee-only coverage and dependents.
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
Flexible Spending Accounts for healthcare and dependent care expenses.
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
Long-term disability coverage.
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
10 paid company holidays.
Tuition reimbursement for eligible educational expenses.
Remote or hybrid work options available for various positions.