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

Similar Jobs