Clinical Services Coordinator, Intermediate

5 days ago


Lodi, CA, United States Blue Shield of CA Full time

Your Role

The Care Management Department is seeking a dedicated and compassionate Clinical Service Coordinator (CSC) to join our team. The Clinical Service Coordinator will report to the Supervisor of Care Operations. The CSC will play a vital role in outreach and engagement efforts with our members, introducing them to care management services, and conducting assessments to identify their needs. The successful candidate will interact telephonically with members to assist with simple care coordination needs and facilitate connections between members and appropriate services, including internal nurse care managers, vendors, and behavioral health providers.

Your Knowledge and Experience

  • A minimum of a high school diploma or equivalent required

  • A minimum of 3 years of relevant experience is required

  • A minimum of 1 year experience in a managed care environment preferred

  • Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred

  • Community resources and advocacy experience preferred

  • Ability to identify issues and develop effective solutions to meet members' needs

  • Flexibility to adjust to changing circumstances and member needs

  • Strong verbal and written communication skills to effectively convey information to members and colleagues

  • Ability to work an 8 hour shift between the hours of 8 am to 7 pm PST. Ability to work Saturdays once per quarter.



  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The Provider Dispute Resolution Team is looking for an Intermediate Provider Dispute Resolution Coordinator that can research, review and resolve high level/high priority provider grievances, appeals and complaints, while clarifying issues and educating providers in the process. The Intermediate Provider Dispute Coordinator will report to the...


  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The Provider Dispute Resolution Team is looking for an Intermediate Provider Dispute Resolution Coordinator that can research, review and resolve high level/high priority provider grievances, appeals and complaints, while clarifying issues and educating providers in the process. The Intermediate Provider Dispute Coordinator will report to the...


  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The ITS Host Claims team processes claims and adjustments for out of state Blue Cross Blue Shield members that have services in California in a shared adjudication process. The Claims Processor Intermediate will report to the Operations Supervisor. In this role you will be responsible for reviewing and adjudicating claims and/or adjustments in...


  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The Population Health Management Social Services Clinical Liaison will report to the Director of Social Services, Medi-Cal Population Health Management. The Population Health Management Social Services Clinical Liaison interfaces with both DHCS and L.A. Care Health Plan; External Local Government Agencies and Providers including, but not limited...


  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The Population Health Management Social Services Clinical Liaison will report to the Director of Social Services, Medi-Cal Population Health Management. The Population Health Management Social Services Clinical Liaison interfaces with both DHCS and L.A. Care Health Plan; External Local Government Agencies and Providers including, but not limited...


  • Lodi, CA, United States Blue Shield of CA Full time

    Your Role The Population Health Management Social Services Clinical Liaison will report to the Director of Social Services, Medi-Cal Population Health Management. The Population Health Management Social Services Clinical Liaison interfaces with both DHCS and L.A. Care Health Plan; External Local Government Agencies and Providers including, but not limited...

  • Clinical Supervisor

    4 days ago


    Lodi, CA, United States YAI Full time

    If you are a current YAI employee, please click this link to apply through your Workday account. Key/Essential Functions & Responsibilities Demonstrates and models professionalism and all skills of Lead Registered Behavior Technician (RBT) and of Direct Support Professional/Registered Behavior Technician (DSP/RBT) with a person-centered and trauma-informed...

  • Clinical Supervisor

    2 days ago


    Lodi, CA, United States YAI Full time

    If you are a current YAI employee, please click this link to apply through your Workday account. Key/Essential Functions & Responsibilities Demonstrates and models professionalism and all skills of Lead Registered Behavior Technician (RBT) and of Direct Support Professional/Registered Behavior Technician (DSP/RBT) with a person-centered and trauma-informed...


  • Lodi, CA, United States Adventist Health Full time

    Job Description Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas....


  • Lodi, CA, United States Adventist Health Full time

    Job Description Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas....