Clinical Services Coordinator, Advanced

Blue Shield of CA; Lodi (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Blue Shield of California is seeking a Clinical Service Coordinator, Advanced to join the Care Management team. The role focuses on coordinating care for our most vulnerable members, connecting them with needed resources, and providing individualized support based on each member’s needs and eligibility for services.

You will work in a hybrid virtual setting, with a blend of remote collaboration and periodic office visits as required by the business.

Qualifications

• Requires a high school diploma or GED or 1 additional year of relevant experience in lieu of a diploma.
• Requires 5 years of prior relevant experience.
• Desirable: certification in patient advocacy, health coaching, or care navigation.
• Experience with health insurance/managed care and community resources.
• Strong interpersonal and organizational skills.

Responsibilities

• Coordinate care for vulnerable members and connect them with needed services.
• Provide individualized care coordination based on identified needs and eligibility for services.
• Report to the Manager of Care Management and contribute to leadership development.

Skills

Interpersonal communication

Organizational skills

Care coordination

Health insurance experience

Advocacy

Education

High School diploma or GED

5 years of relevant experience

Job description

Your Role

The Care Management team is a member-facing team that provides care coordination to our most vulnerable members to help them overcome barriers, access appropriate services and resources, and improve their overall health and quality of life. The CSC will connect members with needed resources and provide individualized care coordination based on each member's identified needs and eligibility for services. The Clinical Service Coordinator, Advanced will report to the Manager of Care Management.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a High School diploma or GED or 1 additional year of relevant experience in lieu of a diploma
• Requires 5 years of prior relevant experience
• Desired Certification and/or training as a patient advocate, health coach, care navigator
• Health insurance/managed care experience (Commercial, IFP, Medicare, and Medi-Cal)
• Experience with community resources and advocacy
• Strong interpersonal communication skills and organizational skills

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.