Healthcare Navigator and Care Coordinator

7 days ago


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

At Blue Shield of California, we are seeking a highly skilled Clinical Services Coordinator, Advanced

Your Role:

  • Contact healthcare providers and members through telephone or correspondence to facilitate the medical management process.
  • Interact with members telephonically to ensure effective and efficient management through the medical/disease management process as needed.
  • Assist in arranging appropriate medical equipment, home health, follow-up appointments, and other services related to care coordination.

Your Work:

  • Conduct Health Risk Assessments (HRAs) with members via telephonic outreach.
  • Provide administrative/clerical support to medical and disease management programs.
  • Act as a liaison, gathering information, and tracking patients referred to care management programs.
  • Coordinate care for high-risk/high-cost patient populations, including referrals to community resources and facilitation of medical services.
  • Document patient-specific information in relevant systems.
  • Verify health plan benefits and coordinate ambulatory services.

Your Knowledge and Experience:

  • Requires a high school diploma or equivalent.
  • A minimum of 5 years' relevant experience.
  • 3 years combined experience in clinical practice in hospitals, outpatient settings, health plans, community health, or care management preferred.

Your Pay:

The estimated salary for this role is $27.42 - $38.47 per hour, based on a range of factors including location (California), experience, and current employee salaries for similar roles at Blue Shield of California.



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