PCDH Coordinator

Delta Dental Plan of Indiana, Inc.; Nashville (TN); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking a PCDH Coordinator in Nashville, TN to oversee the Patient Centered Dental Home assignments and related workflows. You will coordinate with TennCare, MCOs, providers, and internal teams to ensure timely, accurate patient outreach and education.

The role requires a bachelor's degree in a health-related field and at least three years of care coordination experience, with strong analytical and communication skills to drive program success.

Qualifications

• Bachelor's degree in a related field and at least three years of patient care coordination experience in healthcare or public health programs.
• Strong analytical, problem-solving, communication, and organizational skills.
• Experience with word processing, spreadsheets, database applications, and healthcare management software is preferred.

Responsibilities

• Oversees all aspects of Patient Centered Dental Home assignment and related workflow updates.
• Monitors and reports on the Dental Home program, collaborating with TennCare, MCOs, and providers.
• Educates members on preventive and comprehensive dental care and coordinates with case managers.
• Ensures compliance with healthcare regulations and internal policies.
• Performs ad hoc reporting for Dental Home strategy as needed.

Skills

Analytical

Problem solving

Communication

Organizational skills

Education

Bachelor's degree in healthcare administration

Job description

## PCDH CoordinatorApplyremote type: This is a hybrid position, both in-office and remote.locations: DDMI - Nashvilletime type: Full timeposted on: Posted 29 Days Agojob requisition id: JR101338**Job Title:**PCDH Coordinator**Number of Positions:**0**Location:**DDMI - Nashville**Location Specifics:**Hybrid Position**Job Summary:****Must reside in Metropolitan Davidson County, Tennessee or a county contiguous to Metropolitan Davidson County, Tennessee.**At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.**Position Description**Oversees all aspects of Patient Centered Dental Home assignment, including system process updates, any provider requests or concerns related to member assignments or process, any member concerns, questions, or updates necessary, fulfilling reporting requirements, and communication to internal and external stakeholders. Ensures members are educated on dental wellness, including preventive care, comprehensive care, and acute care through collaboration with case managers and Managed Care Organization coordinators on overall outreach strategy.**Primary Job Responsibilities:*** Supports key areas of the TennCare and Contractor’s Dental Home Strategy, monitoring utilization and prioritizing increased utilization of high-value preventative dental services, jointly designing the scope of responsibilities and high-value activities with TennCare.* Implements the overall Dental Home Strategy, including supporting both member and provider outreach, coaching, and education.* Collaborates with project management team on system updates, revisions, or additions to the Dental Home workflow in Roosevelt.* Maintains and updates the Patient Centered Dental Home sections of the provider manual, as well as references within the member handbook.* Monitors and analyzes reports regarding the Patient Centered Dental Home program. Proactively identifies opportunities and barriers to patient dental utilization.* Ensures that members and their families receive preventive services from a trusted primary care dentist, which helps control oral diseases and reduces the need for restorative services.* Facilitates communication between members, dental providers, Managed Care Organizations and other healthcare professionals to ensure continuity of care.* Seeks input from others, listens effectively, and uses diplomacy, tact, and consensus to build relationships and gain trust, respect, and support with internal and external stakeholders.* Develops, recommends, implements, and enforces policies, procedures, guidelines, and standards of operations for the Dental Home Strategy.* Assist in periodic compliance efforts and ensure compliance with healthcare regulations and standards.* Develops ad hoc reporting for Dental Home strategy independently, or in collaboration with internal reporting teams, for internal and external use.* Directs tracking of provider terminations and reassigns members to another Dental Home, as necessary. Reassigns members upon request from TennCare, providers, MCOs, or DDA, as well as at member request through automated systematic processes, or manually, as necessary.Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.#LI-Hybrid**Minimum Requirements:**Position requires a bachelor's degree in healthcare administration, business administration, public health, dental hygiene, or a related field and three years of experience in patient care coordination in a healthcare environment or designing or administering a public health program or dental education program. Will accept any suitable combination of education, training, or experience. Position requires strong analytical, problem solving, communication, and organizational skills; the ability to manage multiple tasks, work collaboratively with various departments, and effectively communicate with patients and healthcare providers. Experience with word processing, spreadsheets, database applications, and the use of healthcare management software and tools is preferred.The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.### About UsDelta Dental of Michigan, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and today with our affiliates, we are one of the largest dental plan administrators in the country. It’s our mission to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by making investments that build healthy, smart, vibrant communities.We celebrate diverse thought and foster a culture where employees go All In – for the company, themselves, their colleagues and their communities.Employees are offered a comprehensive benefits package that includes medical, dental and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flexible spending accounts, and tuition reimbursement or educational assistance. Employees are also eligible for annual incentive compensation based on annual business goals.Additionally, employees receive eight hours of paid volunteer time each year, access to an on-staff health coach and personal trainer, plus many other perks.Delta Dental is an Equal Opportunity Employer.