Advantage Dental Care Coordinator, DentaQuest - Reside in Oregon

Position: Advantage Dental Care Coordinator, DentaQuest - Must Reside in Oregon
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
* Denta Quest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
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* Job Description:

** Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.
** Candidate must reside in the state of Oregon.
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* The opportunity:

** The Care Coordinator is responsible for telephone outreach to designated member populations to ensure retention, utilization of services, and satisfaction as well as meeting compliance regulations with reporting on these topics.
** How you will contribute:
** Assist with care coordination of members with special health care needs as designated by Coordinated Care Organizations (CCOs), the Oregon Health Authority (OHA), members, members’ caregiver or their representative.  This includes, but is not limited to:
* Contacting and counseling members in regards to emergency department usage for dental related reasons as reported through company’s secure connect to the Emergency Department Information Exchange (EDIE) or directly from hospitals and CCOs
* Contacting and counseling members in regards to missing dental appointments as reported by primary care dental offices (PCDs)
* Assisting in the reassignment of dismissed of members from their current PCD and coordinating success care in the future for the member; escalating to a Care Coordinator, Advanced when necessary
* Coordinating care for members needing additional services in a dental practice after being seen in a community setting
* Community Partner Requests for assistance through Health Risk Screening
* Processing medical to dental referrals to care
* Processing of Pilot projects referrals to care Ensure all documentation is entered accurately and timely into all case management systems for continuity of care purposes

Assist in improving the region’s health by considering each community member’s unique health, cultural and social needs

Other duties as needed or required
** What you will bring with you:
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* Required:

* 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
* Attends additional training as requested/deemed necessary

Preferred:
* Certification as a Community Health Worker or other Traditional Health Worker designation
* 2+ years of experience working in a call center environment.
* Experience in a dental/medical insurance setting.
** Salary:
** Salary Range: $40,600 - $54,800    At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business.

We are dedicated to creating a work environment where everyone is rewarded for their contributions.to stay connected until the time is right for you!

We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied…