Clinical Services Coordinator, Intermediate

1 month ago


San Diego, California, United States Blue Shield of California Full time

About the Role

The Clinical Services Coordinator, Intermediate, will serve as the primary point of contact for healthcare providers and members in the medical management process. This role will interact with members to ensure they are effectively managed through the medical/disease management process, as needed.

Key Responsibilities

  • Conduct Health Risk Assessments (HRAs) with members via telephonic outreach
  • Provide telephonic outreach to members as directed by protocol or care management team
  • Assist with system letters, requests for information, and data entry
  • Provide administrative support to medical and disease management programs
  • Act as a liaison to gather information and track patients referred to care management programs
  • Coordinate care for high-risk/high-cost patient populations, including referrals to community resources and medical services
  • Document patient information in relevant information systems
  • Verify health plan benefits and coordinate ambulatory services
  • Demonstrate cultural competence in working with diverse patient populations
  • Assist with precepting new hires and auditing efforts

About Blue Shield of California

Blue Shield of California is a not-for-profit health plan dedicated to providing high-quality healthcare services to its members. As a Clinical Services Coordinator, Intermediate, you will play a critical role in supporting the care management team in delivering exceptional patient care.



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