Government Programs Outreach and Care Coordinator

Description

Come Smile with Us!

Make a meaningful impact on the health and well-being of Iowans. As an Outreach and Care Coordinator, you’ll help connect Government Programs members with the dental care, resources and support they need. You’ll collaborate with health care providers, managed care organizations, state agencies, social services and community partners to improve access to care, while supporting community events, mobile dental clinics, health education and oral health advocacy across Iowa.

Learn why Cherie enjoys working for Delta Dental of 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: 

• Lead care coordination and outreach efforts to ensure performance measures and goals identified in Government Program contracts are met. 
• Lead care coordination and outreach activities for Government Program high risk or complex oral health needs members.  
• Lead care coordination efforts for internal escalated members and complete oral health survey as needed. 
• Lead care coordination efforts for identified cases resulting from appeal, grievance, or State Fair Hearing resolution.  
• Lead implementation and monitoring of PIP and quality improvement projects to meet contract and internal goals.  
• Lead creation and maintenance of member communications including handbooks, flyers, and required educational materials. 
• Assist with mobile dental clinics including site logistics, relationship with mobile dental vendor, and scheduling for members. Lead follow up care coordination efforts as needed.  
• Lead and monitor single case agreements to ensure member access which includes collaboration with internal clinical team, providers, and members. Complete necessary quarterly reporting as required. 
• Develop resources that educate members on the Government Programs benefits and oral/overall health practices. 
• Provide support for the external quality review audits.  
• Provide support, input, and review for requests for proposals and other bids as necessary for Government Programs business. 
• 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 internal and external stakeholders  to develop and maintain necessary data and outcome reporting. 
• 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. 
• Perform other duties as assigned. 

Requirements

Required 

1. Bachelor’s degree in health education or public health, public administration, social work or a related field of interest required. 
2. One 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. Time management skills and flexibility to perform well under time pressure and with shifting priorities. 
7. Ability to translate and follow contract language, federal regulations, and policies.  
8. Proficient in use of Microsoft Office applications (Word, Excel, PowerPoint). 
9. Ability to work independently. 
10. Ability to travel is required in state 10-15%.  
11. While the role generally follows standard business hours, occasional evening or weekend work is needed and is typically scheduled in advance. 
12. Must possess a valid State of Iowa driver’s license. 

Preferred 

1. Master’s degree with emphasis in social work or public health. 
2. Licensed to perform social work in the State of Iowa. 
3. Dental and/or insurance knowledge. 
4. Bilingual candidates (English and Spanish). 

Delta Dental of Iowa is an Equal Opportunity Employer that does not discriminate on the basis of race, sex, national origin, religion, age, disability and any other characteristic protected by applicable law. It is also the policy of Delta Dental of Iowa to take affirmative action to employ and to advance in employment, all persons regardless of their status as individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.