Clinical Services Coordinator, Intermediate
2 weeks ago
Your Role
The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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
- Requires basic job knowledge of systems and procedures obtained through prior work experience or education
- Typically, requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience
- A minimum of a high school diploma preferred
- A minimum of 1 year experience in a managed care environment preferred
- Bi-Lingual in Spanish required
- Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred
- Community resources and advocacy experience preferred
- Practice integration in a triad model of care experience preferred
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
-
Clinical Services Coordinator
3 days ago
Long Beach, California, United States Blue Shield of California Full timeAbout the RoleThe Clinical Services Coordinator, Intermediate, plays a vital role in the medical management process at Blue Shield of California. As the initial point of contact for providers and members, this position requires strong communication and interpersonal skills to ensure effective and efficient management of member care.Key...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
5 days ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
5 days ago
Long Beach, United States Blue Shield of California Full timeJob DescriptionYour RoleThe Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement,...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Clinical Services Coordinator, Intermediate
21 hours ago
Long Beach, California, United States Blue Shield of California Full timeAbout the RoleThe Clinical Services Coordinator will play a vital role in ensuring the effective management of member care through outreach, engagement, and care coordination processes. This individual will interact with members and providers to address their health needs and support the Promise Case Managers and Social Workers in arranging follow-up...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement,...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
United States, CA, Long Beach, 90802 Blue Shield of California Full timeYour Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve 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...
-
Clinical Services Coordinator, Intermediate
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure that members are effectively and efficiently managed through the outreach, engagement, and...
-
Intermediate Clinical Services Facilitator
2 weeks ago
Long Beach, California, United States Blue Shield Of California Full timePosition OverviewThe Intermediate Clinical Services Facilitator will directly report to the supervisor overseeing care management support operations. This role serves as the primary contact for healthcare providers and members involved in the medical management process, utilizing both telephone and written communication. The Facilitator will engage with...
