Dental Case Manager: Care Coordination & Compliance Lead

DOCS Health; Pipersville (PA); On-site; USD 45,000 - 65,000; Full time

Job summary

DOCS Health is seeking a Dental Case Manager to coordinate, monitor, and manage dental cases from intake through resolution. This role ensures patients receive timely, appropriate care in alignment with contract requirements, clinical standards, and operational processes.

You will collaborate with dental providers, administrative teams, and external partners to facilitate case progression, document thoroughly in the case management system, and resolve barriers to care.

Qualifications

• High school diploma or equivalent; associate’s or bachelor’s degree preferred.
• Minimum of 2 years of experience in dental, medical, or healthcare case management, scheduling, or coordination.
• Working knowledge of dental terminology, treatment planning, and procedures.
• Strong organizational skills with the ability to manage multiple priorities simultaneously.
• Proficiency with Microsoft Office Suite and case management/EHR software.
• Excellent verbal and written communication skills.
• Ability to work independently while collaborating effectively with a team.

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.

Skills

Dental terminology

Treatment planning

Microsoft Office

EHR software

Communication

Organization

Independent work

Education

Associate's or Bachelor's degree preferred

Tools

Case management software

Job description

DOCS Health is seeking a Dental Case Manager to coordinate, monitor, and manage dental cases from intake through resolution. This role ensures patients receive timely, appropriate care in alignment with contract requirements, clinical standards, and operational processes.

You will collaborate with dental providers, administrative teams, and external partners to facilitate case progression, document thoroughly in the case management system, and resolve barriers to care.