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 AmeriCare Services   > dentistry

AmeriCare Services offers several categories of opportunities in Dentistry. They include:

 

Dental Assistant

Minimum Qualifications

Graduation from high school and one year of experience in a dental office or clinic.

Role Description

This is routine, non-professional work in assisting a dentist at chairside during the examination and treatment of patients and in related dental clinic work. A resource is responsible for assisting in a dental clinic by maintaining records and dental equipment and supplies; scheduling and maintaining appointment lists; performing clerical duties; performing minor dental laboratory procedures, such as assisting in the construction of dentures and models of the teeth and mouth; managing housekeeping details; and performing other minor dental laboratory procedures which can be learned through experience on the job. A resource may be required to take and process patient dental x-rays. Resources work under the close supervision of a dentist and work is carefully reviewed in process and upon completion.

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Dental Hygienist

Minimum Qualification

Possession of a license to practice as a dental hygienist as issued by the Pennsylvania State Board of Dentistry.

Role Description

This is technical work in performing dental prophylaxis and providing general assistance to dentists. Resource participates in institution dental clinic services by performing dental prophylaxis, giving instruction in the care and brushing of teeth, and assisting dentists performing professional services for patients. Work is performed under the supervision of a dentist in accordance with accepted practices and established rules and regulations of the institutions and agency and is reviewed through observation, evaluation of results obtained, and periodic reports.

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Orthodontist

Minimum Qualifications

Board Certification in the field of Orthodontics. Possess basic computer skills and an understanding of utilization review processes.

Role Description

Resource in this position will serve as an Orthodontic Reviewer for the Department of Public Welfare. Resource will be responsible for making determinations regarding the medical necessity and /or quality of orthodontic care provided to Medicaid recipients. Resource will review all requests for orthodontic services and make a qualified determination in accordance with Medical Assistance Programs regulations and criteria. Resource will identify program violations, prepare appealed cases for hearings and be available to testify at administrative hearings for cases under appeal. Resource will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource will assist the Department in determining any changes that should be made to criteria or regulations to better service Medical Assistance recipients.

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Dentist

Minimum Qualifications

Possess a current active dental license. Possess a documented work history of two or more years of experience performing dental management and administration within the previous five years. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description

Resource will provide utilization and quality reviews of services for the Department of Public Welfare. As directed by the Department of Public Welfare, resource will also provide clinical input into projects including the development of systems and process associated needed to operate an efficient and effective dental services delivery system including prior authorization and network development activities. Resource will provide dental and managerial leadership and oversight to project and processes. Resource will be assigned to management workgroups and project teams. Assignments will consist of a combination of on-going process responsibilities, standing work group participation and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program.

Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric dental cases covered by the Department including, but not limited to: procedures performed in a dental office, Short Procedure Unit or Ambulatory Surgical Center; dental supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of dental services prescribed for and provided to Medicaid recipients.

It will be the Resource’s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau.

Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

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