Coordinator, Dental Program - Pediatrics/Adolescents FL only

Molina Healthcare•Long Beach, FL

About The Position

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.

Requirements

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.

Nice To Haves

Previous dental, pediatric, and/or managed care experience.

Responsibilities

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 care including: accessing appointments, translation services and transportation assistance.