Clinical Services Coordinator, Intermediate

7 days ago

Long Beach, United States Blue Shield of California Full time
Clinical Services Coordinator, Intermediate at Blue Shield of California summary:

The Clinical Services Coordinator is responsible for managing outreach, engagement, and care coordination for Medi-Cal members. This role includes providing telephonic and electronic support to both members and providers, ensuring effective care management processes while working with various health-related requirements. The position requires cultural competence and knowledge of community resources to help members navigate their healthcare needs efficiently.

Your 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 care management processes. The CSC will directly help members as their health needs require and will support the Promise Case Managers and/or Social Workers in arranging appropriate follow-up appointments, and other services related to the member’s care coordination. 

 

Your Work

In this role, you will:

  • Demonstrate cultural competence to work effectively, respectfully, and sensitively within the client’s cultural context
  • Knowledge of community resources and advocacy
  • Incorporation of all Medi-Cal, Cal-AIM and Population Health management requirements with NCQA/HEDIS measures with little to no direct supervision.  
  • Show ability to resolve or direct member FAQs, i.e., plan benefits, coverage, network, preferred facilities, provider searches, claims, authorizations, etc.
  • Serve as primary point of contact for members and providers
  • Deliver administrative and clerical support to the Promise Case Mangers as assigned
  • Acts as a liaison to gather information and track all patients referred to the care management program
  • Documents all patient specific information in applicable information systems, connecting to other departments as appropriate
  • Telephonic communication with members as directed by established and trained protocols to conduct general outreach, health risk assessment (HRA), or other program specific needs 
  • Manage centralized program toll-free phone lines and email inbox to receive, respond, and triage program inquiries based on eligibility
  • Other duties as assigned including, but not limited to, Health Risk Assessment (HRA), assist in coordinating care for Medi-Cal population, generating referrals to appropriate care management program or team to support member needs

 

Your Knowledge and Experience

  • Requires high school diploma or equivalent
  • Requires a minimum of 3 years relevant experience
  • Requires a minimum of 3 years’ combined experience in a clinical practice in the hospital, outpatient, health plan, community health, or care management setting
  • Bilingual 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.


Keywords:

Clinical Services Coordinator, Medi-Cal Care Management, care coordination, healthcare support, patient outreach, cultural competence, community resources, health risk assessment, case management, administrative support

  • Clinical Services Coordinator, Intermediate

    18 hours ago

    Long Beach, United States Blue Shield of California Full time

    Your 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 months ago

    Long Beach, United States Blue Shield of California Full time

    Your 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 days ago

    Long Beach, United States Blue Shield of California Full time

    Your 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 months ago

    Long Beach, United States Blue Shield of California Full time

    Your 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

    1 month ago

    Long Beach, United States Blue Shield of California Full time

    Your RoleThe 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 time

    Your 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 months ago

    Long Beach, United States Blue Shield of California Full time

    Your 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 months ago

    Long Beach, United States Blue Shield of California Full time

    Your 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 time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 weeks ago

    Long Beach, 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 weeks ago

    Long Beach, 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 weeks ago

    Long Beach, 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 months ago

    Long Beach, CA, United States Blue Shield of California Full time

    Your 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

    3 weeks ago

    Long Beach, CA, United States Blue Shield of California Full time

    Your 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 months ago

    United States, CA, Long Beach, 90802 Blue Shield of California Full time

    Your 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 months ago

    United States, CA, Long Beach, 90802 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 weeks ago

    Long Beach, 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 weeks ago

    Long Beach, 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 serve as an 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...

  • Clinical Services Coordinator, Intermediate

    2 days ago

    Long Beach, CA, United States Blue Shield of CA Full time

    Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an 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...

  • Clinical Services Coordinator, Advanced

    2 weeks ago

    Long Beach, 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 serve as an 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...