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Quality Management Dentist

Company: Western Dental Services, Inc.
Location: Orange
Posted on: June 12, 2021

Job Description:

Requisition Number 21-1951 Title Quality Management Dentist City Orange State CA Zip Code 92828 Description Western Dental & Orthodontics began with a single office in Los Angeles and has since grown to be the largest dental practice management company in the West, with about 250 dental clinics across California, Arizona, Nevada, and affiliated offices in Texas under the Brident Dental & Orthodontics name. We continue to expand in these territories and look to move into new markets throughout the United States. Position Summary: Performs clinical chart review of staff model and IPA dental charts. Provides mentoring to WDS employed and contracted dentists. Reporting Relationship: The Dental Consultant reports to the Chief Dental Officer and Vice President of Quality Management Major Accountabilities:Reviews dental charts for potential quality issues.Reviews referral, pre-authorizations and claims requests for appropriate approval or denial of benefits.Review of patient/member grievances and assistance with preparing resolutions.Participates in committees and activities related to credentialing, peer review, quality improvement, utilization review and others, as needed.Provides clinical mentoring to WDS employed and contracted dentists. Requirements Experience Requirement5 year minimum clinical experience.Must have and continuously maintain an active unencumbered CA dental license.CADP Certified Auditor Necessary Skill SetsExcellent verbal and written communication.Ability to work in a regulatory environment with very strict timeliness and accuracy requirements.Dedication to excellent service.Ability to work in a fast paced, professional environment.Ability to meet required deadlines. Proficient use of Microsoft Office (Excel, Word and Outlook). The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. To apply please email: #CB

Keywords: Western Dental Services, Inc., Beaumont , Quality Management Dentist, Other , Orange, Texas

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