Dental Case Manager

The Dental Case Manager serves as the primary point of contact for coordinating, monitoring, and managing dental cases from initial review through resolution. This role ensures that patients receive timely, appropriate care in alignment with contract requirements, clinical standards, and operational processes. The Dental Case Manager collaborates closely with dental providers, administrative teams, and external partners to facilitate case progression, resolve barriers to care, and maintain accurate documentation in the case management system.

Candidates with prior dental office management experience are highly preferred, as this background provides valuable insight into dental workflows, patient scheduling, provider coordination, and practice operations. While not required, this experience significantly enhances the ability to manage cases efficiently and effectively.

Key Responsibilities

• Review, evaluate, and manage assigned dental cases from intake through completion, ensuring compliance with program guidelines and timelines.
• Communicate with patients, providers, and other stakeholders to coordinate appointments, obtain necessary documentation, and provide case updates.
• Interpret treatment plans and ensure recommended services align with clinical and contractual requirements.
• Request and track treatment approvals in applicable systems; follow up on outstanding requests to avoid delays in care,
• Maintain accurate and complete electronic records in compliance with HIPAA and organizational standards.
• Identify and address barriers to care, escalating cases as needed to management or clinical leadership.
• Monitor case progress to ensure deadlines are met; proactively address issues that may cause delays.
• Collaborate with internal teams (Data, Scheduling, Logistics, Billing) to ensure smooth workflow and resolution of cases.
• Generate reports on case status, trends, and performance metrics for leadership review.
• Stay current on applicable regulations, policies, and procedures impacting case management and patient care.