Case Management Coordinator (Must Reside in New York)
$22 - $26 per hourLiberty Dental
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. Location Requirement:Candidates must live in New York Essential Duties & 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.
- Associate degree or equivalent years of administrative experience required.
- 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.
- 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.
- Bilingual in Spanish preferred (must be able to pass a dental terminology exam if applicable).
- Knowledge of medical terminology preferred.
What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity. Our first-class benefits package supports employees and their dependents with:
- 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.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements. Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time.
Vacancy posted 5 days ago
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