Bilingual Clinical Services Coordinator Remote Care Support

Blue Shield of CA; Long Beach (CA); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Blue Shield of CA in Long Beach, CA is looking for a Clinical Services Coordinator to serve as the primary contact for providers and members in the medical management process. You will help arrange DME, home health, and follow-up appointments, supporting the RN care manager and social worker in coordination of care.

The role emphasizes a hybrid virtual work model with occasional in-office work as needed, and it requires bilingual English/Spanish communication and prior managed care experience.

Qualifications

• Requires a High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma.
• Requires a minimum of 3 years of relevant experience.
• Requires a minimum of 1 year experience in a managed care environment.
• Bi-Lingual, English/Spanish is required.
• Experience using MS Office applications including Word, Excel, PowerPoint, Outlook and Teams. Experience using Salesforce preferred.
• Knowledge of clinical workflow to assist nurses with research and issue resolution preferred.
• Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred. Knowledge of Medicare eligibility criteria preferred.
• Experience working with community resources and member advocacy preferred.
• Experience working in an integrated practice in a triad model of care preferred.

Responsibilities

• Serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.
• Assist RN care manager or social worker in arranging appropriate medical equipment (DME), home health, follow-up appointments, and other care coordination services.
• Support leaders and teams by contributing to effective care management and problem resolution.

Skills

Bilingual (English/Spanish)

MS Office Suite

Care coordination

Member advocacy

Community resources

Education

High School Diploma or GED

1 year alternative experience

Tools

Salesforce

Job description

Blue Shield of CA in Long Beach, CA is looking for a Clinical Services Coordinator to serve as the primary contact for providers and members in the medical management process. You will help arrange DME, home health, and follow-up appointments, supporting the RN care manager and social worker in coordination of care.

The role emphasizes a hybrid virtual work model with occasional in-office work as needed, and it requires bilingual English/Spanish communication and prior managed care experience.