Clinical Services Coordinator, Intermediate

3 days ago


California, United States Blue Shield of California Full time

About the Role

The Blue Shield of California team is seeking a skilled Clinical Services Coordinator, Intermediate to join our Children's Health Program (CHP) team. In this role, you will work closely with clinical staff to support member needs, utilizing established and approved medical policies and guidelines that align with nationally recognized standards.

Key Responsibilities

  • Process and manage medical records, requests, and authorizations in a timely and accurate manner.
  • Support case management activities, including mailings, surveys, and data entry.
  • Provide operational support to ensure healthcare services are delivered to members, employers, and providers.
  • Serve as the initial point of contact for members and providers, responding to inquiries and resolving issues.
  • Review and process service authorization referrals, system letters, and requests for information.
  • Assist with administrative and clerical tasks to support medical management activities.

Requirements and Qualifications

  • Strong communication and interpersonal skills, with the ability to work effectively with clinical staff, members, and providers.
  • Excellent organizational and time management skills, with the ability to prioritize tasks and meet deadlines.
  • Proficiency in data entry and management systems, with the ability to learn new software and technologies.
  • Knowledge of medical policies, procedures, and guidelines, with the ability to apply this knowledge in a clinical setting.


  • California, United States Blue Shield of California Full time

    About the RoleThe Children's Health Program (CHP) team at Blue Shield of California provides identification, referrals, and care management for all Medi-Cal members under 21 years old. As a Clinical Services Coordinator Intermediate, you will work closely with clinical staff to support member needs using established and approved medical policies and...


  • California, United States Blue Shield of California Full time

    About the RoleThe Blue Shield of California team is seeking a skilled Clinical Services Coordinator Intermediate to join our Children's Health Program (CHP) team. In this role, you will work closely with clinical staff to support member needs, utilizing established and approved medical policies and guidelines that align with nationally recognized...


  • California, United States Blue Shield of California Full time

    About the RoleThe Blue Shield of California team is seeking a skilled Clinical Services Coordinator, Intermediate to join our Children's Health Program (CHP) team. In this role, you will work closely with clinical staff to support member needs, utilizing established and approved medical policies and guidelines that align with nationally recognized...


  • California, United States Blue Shield of California Full time

    About the RoleThe Blue Shield of California team is seeking a skilled Clinical Services Coordinator, Intermediate to join our Children's Health Program (CHP) team. As a key member of our team, you will play a critical role in providing identification, referrals, and care management for all Medi-Cal members under the age of 21.Key ResponsibilitiesProcess and...


  • California, United States Blue Shield of California Full time

    Your RoleThe Blue Shield of California team is seeking a skilled Clinical Services Coordinator to support the Children's Health Program (CHP). As a key member of the CHP team, you will work closely with clinical staff to ensure seamless care management for Medi-Cal members under 21 years old.Your ResponsibilitiesProcess and manage authorizations, referrals,...


  • California, United States Advanced Clinical Full time

    Job SummaryWe are seeking a highly skilled Clinical Quality Assurance Manager to join our team at Advanced Clinical. As a key member of our organization, you will be responsible for ensuring the highest level of quality and compliance in our clinical studies.Key ResponsibilitiesAudit Strategy Development: Identify and prioritize audit strategies for GCP...


  • California, United States Blue Shield of California Full time

    About the RoleThe Clinical Services Coordinator will play a vital role in supporting the Children's Health Program (CHP) team in providing identification, referrals, and care management for Medi-Cal members under 21 years old. This position will collaborate with clinical staff to ensure member needs are met, utilizing established Blue Shield Medical Policies...


  • California, United States Advanced Clinical Full time

    Job Title: Clinical Quality Assurance ManagerWe are seeking a highly skilled Clinical Quality Assurance Manager to join our team at Advanced Clinical. As a Clinical Quality Assurance Manager, you will be responsible for ensuring the quality and integrity of our clinical studies.Key Responsibilities:Develop and implement quality assurance strategies to ensure...


  • California, United States Advanced Clinical Full time

    Job Title: Clinical Quality Assurance ManagerWe are seeking a highly skilled Clinical Quality Assurance Manager to join our team at Advanced Clinical. As a key member of our organization, you will be responsible for ensuring the highest standards of quality and compliance in our clinical research operations.Key Responsibilities:Develop and implement quality...


  • Stockton, California, United States Stockton Diagnostic Imaging- March Lane and California Street Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Patient Service Representative to join our team at Stockton Diagnostic Imaging- March Lane and California Street. As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to ensure a seamless and efficient experience for...

  • Care Coordinator

    4 weeks ago


    San Jose, California, United States Seneca Family of Agencies Full time

    About Seneca Family of AgenciesSeneca Family of Agencies is a leading provider of mental health, community-based, and educational services to traditionally marginalized communities. Our mission is to provide high-quality, culturally competent care to children, youth, and families in need.Job SummaryWe are seeking a highly skilled and compassionate Care...


  • Irvine, California, United States University of California, Irvine Full time

    Job SummaryWe are seeking a highly skilled Clinical Care Coordinator to join our team at the University of California, Irvine. As a Clinical Care Coordinator, you will play a critical role in coordinating the delivery of high-quality, individualized patient care.Key ResponsibilitiesCollaborate with attending and resident medical staff, as well as nursing,...


  • Bakersfield, California, United States RadNet Bakersfield (Kern-Radiology) Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Medical Office Coordinator to join our team at RadNet Bakersfield (Kern-Radiology). As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to our patients and healthcare team.Key ResponsibilitiesGreet and Register...


  • Bakersfield, California, United States RadNet Bakersfield (Kern-Radiology) Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Medical Office Coordinator to join our team at RadNet Bakersfield (Kern-Radiology). As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to our patients and healthcare team.Key ResponsibilitiesGreet and Register...

  • Clinical Coordinator

    3 weeks ago


    Los Angeles, California, United States The Regents of the University of California on behalf of their Los Angeles Campus Full time

    Job SummaryWe are seeking a highly skilled and organized individual to join our team as a Clinical Coordinator. This role will be responsible for coordinating patient care, managing patient records, and ensuring seamless communication between staff, residents, and faculty.Key ResponsibilitiesCoordinate patient care to accommodate patient needs, care provider...


  • Ventura, California, United States Community Memorial Healthcare Full time

    Job SummaryWe are seeking a highly skilled Clinical Research Coordinator to join our team at Community Memorial Healthcare. The successful candidate will be responsible for coordinating a variety of research projects from pre-study implementation through study closure.Key ResponsibilitiesManage all aspects of multiple clinical trials or other research...


  • Orange, California, United States University of California, Irvine Full time

    Job SummaryWe are seeking a skilled Clinical Nurse Coordinator to join our team at the University of California, Irvine. As a key member of our Gynecological Oncology Service, you will provide direct and indirect patient care, serving as the primary contact for patients and their families.ResponsibilitiesProvide education and support to patients and families...


  • Orange, California, United States University of California, Irvine Full time

    About the RoleWe are seeking a highly organized and detail-oriented Clinical Research Coordinator to join our team at the University of California, Irvine. As a Clinical Research Coordinator, you will play a critical role in the coordination of clinical trials, ensuring the smooth execution of research projects from initiation to completion.Key...


  • Orange, California, United States RadNet Orange County Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Medical Office Coordinator to join our team at RadNet Orange County. As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to our patients and healthcare professionals.Key ResponsibilitiesGreet and Register Patients:...


  • Irvine, California, United States University of California, Irvine Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Clinical Research Coordinator to join our team at the University of California, Irvine. The successful candidate will be responsible for coordinating clinical trials, managing data, and ensuring compliance with regulatory requirements.Key ResponsibilitiesCoordinate clinical trials, including...