Healthcare Navigator and Care Coordinator
7 days ago
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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