Care Management Coordinator - Dental Job at MRI, Houston, TX

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  • MRI
  • Houston, TX

Job Description

Job Description

Job Description

**FULLY REMOTE POSTION**

MUST HAVE - (Only Dental professionals need apply)

  • Prior experience with care coordination or full case management
  • Minimum 2-4 years of office-based administrative support in dental
  • High-Volume outbound calls experience

============================
Summary of Role:
The CCM provides support to Medicaid members who have dental needs and medical co-morbidities by coordinating care, assisting with benefits navigation, and addressing barriers to access. This is a high-volume outreach role requiring strong administrative, communication, and documentation skills.

Key Responsibilities:

  • Conduct high-volume outbound calls to members and respond to inquiries.
  • Educate members on dental benefits, rights, and responsibilities.
  • Confirm case management criteria and coordinate dental appointments.
  • Follow established scripts while adapting to individual member needs.
  • Document all interactions and outcomes in the HSP (Health Solutions Plus) system.
  • Communicate with internal departments (e.g., Provider Relations, Member Services, Grievances) and external entities (dental offices, PCPs, transportation vendors, state agencies).
  • Support additional business needs and assist other departments as needed.
  • Perform case follow-ups and ensure timely turnaround on all documentation.

Required Qualifications

Education: High School diploma or GED required.
Experience:

· Minimum 2-4 years of office-based administrative support in dental

· Prior experience with care coordination or full case management

Skills & Systems Tools

  • Strong knowledge of medical and/or dental terminology.
  • Comfortable working in a fast-paced environment with many daily calls.
  • Proficient in Microsoft Outlook, Word, Excel.
  • Ability to quickly learn and use internal systems such as HSP.
  • Clear written and verbal communication; strong attention to detail.
  • The ability to transcribe and compose accurate responses and case notes.
  • Able to work independently and with remote teams.

 

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Company Description

Media Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).

Job Tags

Work at office,

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