What are the responsibilities and job description for the Clinical Services Coordinator, Intermediate position at Blue Shield of CA?
Your Role
The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC will interact telephonically with members as per established protocol or direction to ensure that members are effectively and efficiently managed through the medical/disease management process as needs require and in helping the RN care manager or social worker in arranging appropriate medical equipment (DME), home health, follow-up appointments, and other services related to care coordination.
Your Knowledge and Experience
- Requires a minimum of a high school diploma
- Requires a minimum of 3 years of relevant experience
- Prefers minimum of 1 year experience in a managed care environment.
- Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
- Community resources and advocacy
- Practice integration in a triad model of care
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
