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Government Programs Care Coordinator

3 months ago

Johnston, United States Delta Dental of Iowa Full time

Job Type

Full-time

Description

Come Smile with Us

Are you passionate about improving health outcomes and making a difference in your community? Delta Dental of Iowa invites applicants for a Government Programs Care Coordinator to support key projects focused on care coordination, outreach, performance improvement, and goals related to Government Programs contracts. This includes care coordination and case management for our members with complex oral and overall health needs for DWP, DWP Kids, Hawki, and Medicare Advantage plans. You will collaborate with managed care companies, the Iowa Department of Health and Human Services, local I-smile coordinators, dentists and their office staff, and others. Additionally, you will work with our customer service team to connect members to necessary care, engage in statewide community events and conferences, facilitate member advisory groups, and assist with health education campaigns. Join us in promoting oral health access and advocacy across Iowa Enjoy a hybrid work environment with the position located in Johnston, Iowa.

Why Delta Dental of Iowa?

For your smile. For your health. For your community.

At Delta Dental of Iowa, we're more than just a dental and vision insurance company. Improving health and wellness is at the center of everything we do. As a not-for-profit, we aim to build stronger communities by investing in actions that promote and improve health. Delta Dental of Iowa invests 40% of our dollars directly back into the communities we serve.

Come see why we are passionate about "Bringing Smiles" to our customers. Our team enjoys competitive pay and benefits, an awesome "One Team" approach, and a company culture that fosters "Exceptional Quality Service" and "Leadership at All Levels." Together, we can make a difference - not only in Iowa but across the country.

Essential Functions and Principal Accountabilities:

  • Complete care coordination and outreach activities for Government Program members.
  • Provide support for the implementation of GP quality improvement projects.
  • Provide support for the external quality review audits.
  • Provide support for the QAPI and PIP programs including leading identified projects to meet goals.
  • Provide support for the development and analysis of outreach reports that will be used for Government Programs member outreach and education, and ensure members receive outreach.
  • Provide support for developing resources that educate members on the DWP, DWP Kids, Hawki, and Medicare Advantage benefits and oral health practices.
  • Represent Delta Dental Government Programs at various outreach events, coalitions, and conferences in addition to HHS Member and Provider Town Halls.
  • Build relationships with individuals and organizations to facilitate coordination with community-based resources, as well as medical and dental providers.
  • Work with community-based services and representatives to educate and assist program members about behaviors that can enhance their oral health, as well as their overall health, and successfully navigate program services.
  • Work with leadership and other internal stakeholders to develop and distribute internal and external communications for the program with all outlets (social media, print and television news; stakeholders, etc.).
  • Provide leadership to educate customer service representatives on effective communication with members.
  • Coordinate with Delta Dental foundation staff related to Iowa oral initiatives and efforts.
  • Collaborate with data analysis staff to develop and maintain a report system for outcomes.
  • Collaborate with Member and Provider Services staff to communicate Government Program member issues requiring interventions to appropriate internal departments and providers.
  • Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities.
  • Provide care coordination for disease management, accommodations and specialty services, in-patient facility members, etc.
  • Assist in completion of members oral health survey process and provide outreach and care coordination to members as needed.
  • Provide care coordination for members presenting in ER for dental conditions.
  • Perform other duties as assigned.


Requirements

  1. Bachelor's Degree required, preferably in health education or public health, public administration, social work or a related field.
  2. Two to three years' experience in a nonprofit/public health or social work position.
  3. Experience with collaboration, coalition building and project management skills.
  4. Excellent verbal and written communication and interpersonal skills
  5. Basic knowledge of Iowa's human service and public health agencies.
  6. Dental and/or insurance knowledge preferred.
  7. Time management skills and flexibility to perform well under time pressure and with shifting priorities.
  8. Proficient in use of Microsoft Office applications (Word, Excel, PowerPoint)
  9. Bilingual candidates (English and Spanish) preferred.
  10. Ability to work independently.
  11. Ability to travel is required in state 20%.
  12. Ability to work flex hours, including evenings and weekends, is required.
  13. Must possess a valid State of Iowa driver's license.

Delta Dental of Iowa is an Affirmative Action and Equal Opportunity Employer committed to providing equal employment opportunity for all persons without unlawful regard of race, color, religion, sex, sexual orientation, gender identity, age, national origin, individuals with disabilities, protected veteran status, or any other legally protected basis.

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