Case Specialist

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

Skills & Attributes

Qualifications