Job Description
Key Responsibilities
Member Support & Navigation
- Build trusting relationships with members and meet them “where they are.”
- Assess oral health needs, social determinants of health, and barriers to care.
- Support members in following provider treatment plans and home care instructions.
- Assist members in locating dental providers, scheduling appointments, and arranging transportation or translation services.
- Help members understand available dental benefits.
- Address barriers such as dental phobia, behavioral health concerns, or lack of knowledge about oral health.
- Provide in-person support when appropriate.
- Collaborate with referral sources (health systems, state agencies, community organizations) to co-manage oral, medical, and behavioral health needs.
- Refer members to social services to reduce external barriers to care.
- Document all actions in the care coordination platform according to program standards.
Collaboration & Development
- Participate in case consults, escalations, and case conferences.
- Contribute to teamwork, continuous feedback, and solutions that improve processes and outcomes.
- Commit to ongoing learning and professional development.
Skills & Attributes
- Cultural sensitivity and linguistic competency.
- Understanding of social determinants of health and their connection to oral health.
- Empathy and non-judgmental approach to member-centered care.
- Knowledge of care coordination and navigation principles.
- Ability to work independently and collaboratively to meet deadlines.
- Strong communication, listening, and interpersonal skills.
- Professional demeanor when representing the program externally.
- Proficiency with Microsoft Office and computer systems.
- Strong organizational skills, with attention to documentation and time management.
Qualifications
- Bachelor’s degree in social work, human services, community health, or a related field (preferred).
- Experience in care coordination, case management, or community health navigation (health systems, Medicaid programs, or behavioral health preferred).
- Experience supporting populations facing barriers to care.
- Bilingual skills strongly preferred.
Job Tags
Work at office,