Clinical Services Coordinator
3 weeks ago
Job Summary
The Clinical Services Coordinator will serve as an initial point of contact for providers and members in the medical management process by telephone or correspondence. The ideal candidate will have experience in managed care environments and possess strong communication skills.
Key Responsibilities
- Telephonic outreach to conduct Health Risk Assessments (HRAs) with members
- Interact with members as per established protocol or direction
- Assist with system letters, requests for information, and data entry
- Provide administrative support to medical and disease management programs
- Act as a liaison and gather information for care management programs
- Coordinate care for high-risk patient populations
Requirements
- High school diploma
- Minimum 3 years of relevant experience
- Bi-lingual in Spanish required
- Health insurance/managed care experience
About Blue Shield of California
Blue Shield of California is a not-for-profit health plan that provides high-quality, affordable health insurance to individuals, families, and employers. Our mission is to protect and improve the health and well-being of our members.
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