Clinical Services Coordinator, Advanced

Blue Shield of CA; Oakland (CA); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Blue Shield of CA is seeking a Clinical Service Coordinator, Advanced to support care coordination for our most vulnerable members. The role involves connecting members with resources, coordinating services, and working with the Care Management team under the Manager of Care Management.

Ideal candidates have 5 years of relevant experience, high school diploma or GED, and preferred certifications in patient advocacy, health coaching, or care navigation.

Qualifications

• Requires a high school diploma or GED (or 1 extra year of relevant experience).
• 5 years of prior relevant experience.
• Certification/training as patient advocate/health coach/care navigator desired.
• Health insurance/managed care experience across Commercial, IFP, Medicare, Medi-Cal.
• Experience with community resources and advocacy.
• Strong interpersonal and organizational skills.

Responsibilities

• Coordinate care for vulnerable members to overcome barriers and access services.
• Connect members with needed resources and provide individualized care coordination.
• Report to the Manager of Care Management and contribute to a high-performing team.
• Demonstrate critical thinking and a commitment to continuous learning.

Skills

Interpersonal communication

Organizational skills

Healthcare/managed care experience

Community resources & advocacy

Education

High School diploma or GED

1 additional year of relevant experience in lieu of a diploma

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.