Case Management Coordinator (Must Reside in New York)

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.

Education & Experience Requirements

• 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.