What are the responsibilities and job description for the Clinical Services Coordinator, Intermediate position at Blue Shield of CA?
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
- A minimum of 3 years of relevant experience
- A minimum of 1 year experience in a managed care environment.
- Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
- Community resources and advocacy
- 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
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.
