Clinical Services Coordinator, Intermediate

1 month ago


El Dorado Hills, United States Blue Shield of California Full time

Your Role

The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or direction to ensure that members are effectively and efficiently managed through the medical/disease management process as needs require and in helping the RN care manager or social worker in arranging appropriate medical equipment (DME), home health, follow-up appointments, and other services related to care coordination. 

Your Work

In this role, you will:

  • Telephonic outreach to conduct the Health Risk Assessment (HRA) with the member
  • Telephonic outreach to members as directed by protocol or RN care manager or social worker.
  • Assists with system letters, requests for information and data entry. 
  • Back up to phones when needed.
  • Provides administrative/clerical support to medical and disease management programs. 
  • Acts as a liaison, gather information, and track all patients referred to the care management programs. 
  • Assists in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.
  • Documents all patient specific information in appropriate information systems.
  • Assists in verifying health plan benefits and coordinating ambulatory services.
  • Demonstrates cultural competence to work effectively, respectfully, and sensitively within the client’s cultural context.
  • Assists with precepting responsibilities for new hires and auditing efforts. 

Your Knowledge and Experience

  • A minimum of a high school diploma
  • A minimum of 3 years of relevant experience
  • A minimum of 1 year experience in a managed care environment. 
  • Bilingual in Spanish required
  • Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
  • Community resources and advocacy
  • Practice integration in a triad model of care

Pay Range:

The pay range for this role is: $ 20.47 to $ 28.66 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

#LI-MM4



  • El Dorado Hills, United States Blue Shield of California Full time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or direction to...


  • El Dorado Hills, United States Blue Shield of California Full time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or direction to...


  • El Dorado Hills, United States Blue Shield Of California Full time

    Your Role The Appeals and Grievance Department Regulatory team is responsible for responding to inquiries received directly from our state regulatory agencies. The Regulatory Complaint Coordinator, Intermediate, will report to the Regulatory Complaint Supervisor. In this role you will be responsible for effectively managing your time daily to ensure you are...


  • El Dorado Hills, CA, United States Blue Shield of California Full time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC will interact telephonically with members as per established protocol or direction to...


  • El Dorado Hills, CA, United States Blue Shield of California Full time

    Your RoleThe clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC will interact telephonically with members as per established protocol or direction to...


  • El Dorado Hills, CA, United States Blue Shield of California Full time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or direction to...

  • Purchasing Coordinator

    2 months ago


    El Dorado Hills, United States GrowthWise Search Partners Full time

    Job DescriptionJob DescriptionAre you an organization master? Love working directly with customers to deliver excellent customer service? Continue to grow and build your skills as our next Purchasing Coordinator, where you can learn inventory purchasing, customer account management and work with a team where you are more than just a number. This is your long...

  • Event Coordinator

    2 weeks ago


    El Dorado Hills, United States Precious Pairs Inc. Full time

    About Precious Pairs Inc.: Precious Pairs Inc. is a leading disaster management organization dedicated to providing comprehensive response and recovery solutions in times of crisis. Our mission is to enhance the resilience of communities, support disaster survivors, and foster a culture of preparedness through education, response, and recovery efforts....


  • El Dorado Hills, United States Nor-Cal Controls ES, Inc. Full time

    Job DescriptionJob DescriptionSalary: $25 - $30 per hourWe have an exciting opportunity for you to be a part of the renewable energy industry! Nor-Cal Controls provides engineering controls solutions for utility-scale renewable energy power plants, battery energy storage systems, and microgrids, and we are looking for a Proposal Coordinator to join our...


  • El Dorado Hills, United States Marshall Medical Center Full time

    Department: MMF Marshall Family Medicine - EDH Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable): Minimum Pay Range: $31.54 - $39.42 Job Description: POSITION SUMMARY The Licensed Vocational Nurse (LVN) of Marshall Medical Center's (MMC) outpatient clinics works with medical caregivers to ensure effective...


  • El Dorado, United States Centurion Health Full time

    Job DetailsJob Location KS, El Dorado - El Dorado Correctional Facility - El Dorado, KS Position Type Full-Time Education Level Bachelor's Degree Job Shift Day Job Category Leadership DescriptionCenturion is proud to be the provider of comprehensive healthcare services to the Kansas Department of Corrections. We are currently seeking a Full-time Health...


  • El Dorado Hills, California, United States Ethan Conrad Properties Full time

    :Ethan Conrad Properties, Inc.is one of the largest and the fastest growing Commercial Real Estate Company in Sacramento, CA.With over 10MM square feet, over 150 properties, and over 250 buildings, valued at $1.3 billion dollars.ECP has had an Annual Growth of over 20% for the past 10years and anticipates continued growth of 20% annually, creating more job...


  • El Dorado Hills, United States Helm Technical Services Full time

    Job DescriptionJob DescriptionHelm Technical Services is seeking a Software Quality Assurance Analyst position within our client's software development team! Our client is looking to fill this position ASAP, and for someone who wants to make a long-term commitment to an organization that is the leader in its industry, and wants to be a member of a small...


  • El Dorado, United States Murphy USA Full time

    Project Manager III The Project Manager III (Infrastructure) plans, manages and drives IT projects and initiatives to completion. These initiatives are high-priority, departmental projects that will support the Technology Services Infrastructure Engineering, Infrastructure Operations, and End User Services teams. The Infrastructure Project Manager III...


  • El Dorado, United States TAS Environmental Services Full time

    Job DescriptionJob DescriptionDescription:Responsible for management of the Waste Services Team including execution of waste profiling and waste order management processes and maintenance of related cost structures. Role requires serving and communicating with internal and external customers. Reports to Chief Commercial OfficerGood problem-solving skills to...


  • El Dorado Hills, United States TALENT Software Services Full time

    Are you an experienced Project/Program Manager with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Project/Program Manager to work at their company in El Dorado Hills, CA.Primary Responsibilities/Accountabilities:Team's point of contact for all JIRA, SMP and mailbox intake...

  • Clinical Therapist

    4 weeks ago


    El Dorado, United States SOUTH CENTRAL MENTAL HEALTH COUNSELING CTR Full time

    Benefits: $2,000 Sign on bonus for 12 month commitment, 401(k) participation, 401(k) 5% salary match after one year of employment, eligible for paid vacation after six months of employment, paid sick leave accrual begins at hire date, employer paid life insurance and LTD after one year of employment, low cost employee health insurance options, no cost...


  • El Dorado, United States Kansas Action for Children Full time

    at Kansas Department of Transportation (El Dorado) in Wichita, Kansas, United States Job Description Position Summary: This Construction Office Coordinator position is the entry level for the Engineering Technician class series and is located in Wichita, KS.Successful candidates may be appointed at a higher-level dependent upon experience and...


  • El Dorado, United States Murphy USA Full time

    *** This position is an onsite position at Murphy USA's corporate office in El Dorado, AR.***The Project Manager III (Infrastructure) plans, manages, and drives IT projects and initiatives to completion. These initiatives are high-priority, departmental projects that will support the Technology Services Infrastructure Engineering, Infrastructure Operations...


  • El Dorado, United States Murphy Oil Full time

    Job Posting Project Manager III The Project Manager III (Infrastructure) plans, manages and drives IT projects and initiatives to completion. These initiatives are high-priority, departmental projects that will support the Technology Services Infrastructure Engineering, Infrastructure Operations, and End User Services teams. The Infrastructure Project...