Care Coordinator (Must reside in Oregon)

About the role

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. Must reside in Oregon.

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
• Contact and counsel members regarding 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
• Contact and counsel members regarding missing dental appointments as reported by primary care dental offices (PCDs)
• Assist in the reassignment of dismissed members from their current PCD and coordinating success care in the future for the member; escalating to a Care Coordinator, Advanced when necessary
• Coordinate care for members needing additional services in a dental practice after being seen in a community setting
• Process Community Partner Requests for assistance through Health Risk Screening
• Process medical to dental referrals to care
• Process 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

Required qualifications

• 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 qualifications

• 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

Physical demands

• Incumbent must be able to communicate effectively
• Requires overall light physical effort (up to 25lbs.)
• Manual dexterity and sitting is required in carrying out position responsibilities (i.e. use of personal computer)
• Ability to travel or move about within and outside serviced facilities required
• Incumbent works primarily in either a private or shared office environment

Pay

$40,600 - $54,800

Benefits

• Generous vacation and sick time
• Market-leading paid family, parental and adoption leave
• Medical coverage
• Company paid life and AD&D insurance
• Disability programs
• Partially paid sabbatical program
• 401(k) employer match
• Stock purchase options
• Employer-funded retirement account
• Flexible, inclusive and collaborative work environment
• Career growth support