Care Coordinator

• Conduct telephone outreach to designated member populations to ensure retention, service utilization, satisfaction, and compliance reporting
• Assist with care coordination for members with special healthcare needs designated by CCOs, OHA, members, caregivers, or representatives
• Contact and counsel members regarding emergency department usage for dental-related reasons
• Contact and counsel members regarding missing dental appointments
• Assist in reassigning dismissed members from their current primary care dental office and coordinate future care
• Escalate cases to a Care Coordinator, Advanced when necessary
• Coordinate additional dental-practice services after members are seen in a community setting
• Process Community Partner requests for assistance through Health Risk Screening
• Process medical-to-dental referrals to care
• Process pilot-project referrals to care
• Enter documentation accurately and timely into case management systems
• Improve regional health by considering members’ unique health, cultural, and social needs
• Perform other duties as needed or required

• Must reside in Oregon
• High school diploma or equivalent
• 6+ months of experience working with Medicaid populations by phone or in person, or equivalent
• Computer proficiency in a variety of Windows applications
• Attend additional training as requested/deemed necessary
• Preferred:
  Certification as a Community Health Worker or other Traditional Health Worker designation
• Preferred: 2+ years of experience working in a call center environment
• Preferred:
  Experience in a dental/medical insurance setting
• Ability to communicate effectively
• Ability to perform overall light physical effort up to 25 lbs.
• Manual dexterity and sitting required
• Ability to travel or move about within and outside serviced facilities

Demonstrates expertise in member outreach and care coordination, particularly for Medicaid populations, while ensuring compliance and satisfaction. Proficient in documentation and communication within a dental/medical insurance context.

• Medicaid Experience
• Care Coordination
• Community Health Worker Certification
• Call Center Experience
• Effective Communication

• Case Management Systems
• Health Risk Screening
• Documentation Accuracy
• Emergency Department Counseling
• Dental Appointment Coordination

• Interpersonal Communication
• Counseling Skills
• Cultural Competence

• Community Health Worker Certification

• Medicaid
• Dental Insurance
• Healthcare Needs
• Member Retention
• Service Utilization

• Windows Applications