Clinical Services Coordinator
3 days ago
About the Role
The 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 and Guidelines that align with nationally recognized standards.
Key Responsibilities
- Process faxed/phoned in authorizations, UM/CM requests, and calls left on voicemail
- Select support for Case Managers, including mailings and surveys
- Data entry, including authorization forms, high-risk member information, and verbal HIPAA authorizations for case creation
- Support to Advanced/Specialist CSCs
- Assign initial EOA days or triage to nurses based on established workflow
- Research member eligibility/benefits and provider networks
- Provide operational support to ensure healthcare services are provided to members, employers, and providers
- Serve as the initial point of contact for members and providers by telephone or correspondence
- Review specific CHP eligibility referrals within extension of authority
- Process service authorization referrals and assist with system letters, requests for information, and data entry
- Provide administrative/clerical support to medical management
Requirements
This role requires strong communication and organizational skills, with the ability to work in a fast-paced environment. The ideal candidate will have experience in healthcare operations and be familiar with medical policies and guidelines.
-
Clinical Services Coordinator
2 weeks ago
California, United States Blue Shield of California Full timeYour 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,...
-
Clinical Quality Assurance Manager
4 weeks ago
California, United States Advanced Clinical Full timeJob 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...
-
Clinical Services Coordinator, Intermediate
3 weeks ago
California, United States Blue Shield of California Full timeAbout 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...
-
Clinical Services Coordinator, Intermediate
3 days ago
California, United States Blue Shield of California Full timeAbout 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...
-
Clinical Services Coordinator, Intermediate
1 month ago
California, United States Blue Shield of California Full timeAbout 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...
-
Clinical Services Coordinator, Intermediate
3 days ago
California, United States Blue Shield of California Full timeAbout 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...
-
Clinical Services Coordinator, Intermediate
3 weeks ago
California, United States Blue Shield of California Full timeAbout 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...
-
Clinical Quality Assurance Manager
2 weeks ago
California, United States Advanced Clinical Full timeJob 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...
-
Clinical Quality Assurance Manager
2 weeks ago
California, United States Advanced Clinical Full timeJob 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...
-
Care Coordinator
4 weeks ago
San Jose, California, United States Seneca Family of Agencies Full timeAbout 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...
-
Clinical Care Coordinator
3 weeks ago
Irvine, California, United States University of California, Irvine Full timeJob 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,...
-
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 timeJob 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...
-
Clinical Research Coordinator
4 weeks ago
Ventura, California, United States Community Memorial Healthcare Full timeJob 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...
-
Clinical Nurse Coordinator
3 weeks ago
Orange, California, United States University of California, Irvine Full timeJob 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...
-
Clinical Research Coordinator
4 weeks ago
Orange, California, United States University of California, Irvine Full timeAbout 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...
-
Clinical Research Coordinator
4 weeks ago
Irvine, California, United States University of California, Irvine Full timeJob 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...
-
Clinical Program Coordinator RN
2 weeks ago
California, USA, United States Providence Full timeClinical Program Coordinator RN - Cath LabWe are seeking a skilled Clinical Program Coordinator RN to join our Cath Lab team at Providence Saint John's Health Center in Santa Monica, CA.Job Summary:The Clinical Program Coordinator RN will be responsible for collecting and compiling clinical data for cardiac patients concurrent with patient stay in hospital....
-
Clinical Research Recruitment Coordinator
3 weeks ago
Orange, California, United States University of California, Irvine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Clinical Research Recruitment Coordinator to join our team at the University of California, Irvine. The successful candidate will be responsible for coordinating the recruitment of potential research participants for clinical trials at our Stem Cell Research Center-Alpha Clinic (UCI-AC).Key...
-
Clinical Research Coordinator
4 weeks ago
Orange, California, United States University of California, Irvine Full timeAbout the RoleWe 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 in the UCI Center for Clinical Research (CCR), ensuring the smooth execution of research projects from initiation to...
-
Clinical Nurse Coordinator
4 weeks ago
Orange, California, United States University of California, Irvine Full timeJob SummaryThe University of California, Irvine is seeking a skilled Clinical Nurse Coordinator to join our team at the Comprehensive Digestive Disease Center. As a key member of our healthcare team, you will provide exceptional patient care and support to our patients and their families.ResponsibilitiesProvide direct and indirect patient care based on the...