Government Programs Outreach and Care Coordination Specialist

Description

Come Smile with Us!

Are you passionate about making a difference in the lives of individuals with complex health needs? Delta Dental of Iowa is seeking a Government Programs Outreach and Care Coordination Specialist to lead care coordination and case management efforts for Government Programs members who have been identified as high-risk or those with complex oral and overal health needs. In this impactful role, you will lead, implement and support projects focused on care coordination, outreach, performance improvement, and member engagement, ensuring alignment with Government Programs contracts. 

You will collaborate with key stakeholders including managed care organizations, the Iowa Department of Health and Human Services, I-Smile Coordinators, healthcare providers, and social workers. You will also work with our customer service team to identify member’s needs and get them linked to care. From facilitating mobile dental clinics and member advisory groups to assisting with planning and implementing health education campaigns and collaborating with community partners, this position is at the heart of promoting oral health access and advocacy. 

If you’re ready to drive meaningful change and advocate for better health outcomes, we invite you to join our team! Learn why Nicole enjoys working on our Government Programs team.

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: 

• Identify high-risk and complex populations within Government Programs and develop and implement programs to increase access and focus on medical-dental integration. 
• 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 for high-risk or complex oral health needs populations to meet contract and internal goals.  
• Lead ER data project by coordinating care for members, relationships with MCOs, and identify education and outreach materials with emergency rooms within the State.  
• Lead all 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 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. 
• 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. Five 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 20%. 

11. Ability to work flexible hours, including evenings and weekends, is required.

12. Must possess a valid State of Iowa driver’s license.

Preferred

13. Master’s degree with emphasis in social work or public health preferred.

14. Licensed to perform social work in the State of Iowa preferred.

15. Dental and/or insurance knowledge preferred.

16. Bilingual candidates (English and Spanish) preferred.

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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