PCDH Coordinator

What you'd do

• 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.