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Case Specialist

Case Specialist

The Nagler GroupWorcester County, MA, United States
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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

  • Participate in case consults, escalations, and case conferences.
  • Contribute to teamwork, continuous feedback, and solutions that improve processes and outcomes.
  • Commit to ongoing learning and professional development.
  • Skills & Attributes

  • Cultural sensitivity and linguistic competency.
  • Understanding of social determinants of health and their connection to oral health.
  • Empathy and non-judgmental approach to member-centered care.
  • Knowledge of care coordination and navigation principles.
  • Ability to work independently and collaboratively to meet deadlines.
  • Strong communication, listening, and interpersonal skills.
  • Professional demeanor when representing the program externally.
  • Proficiency with Microsoft Office and computer systems.
  • Strong organizational skills, with attention to documentation and time management.
  • Qualifications

  • Bachelor’s degree in social work, human services, community health, or a related field (preferred).
  • Experience in care coordination, case management, or community health navigation (health systems, Medicaid programs, or behavioral health preferred).
  • Experience supporting populations facing barriers to care.
  • Bilingual skills strongly preferred.
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    Case Specialist • Worcester County, MA, United States

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