Clinical Services Coordinator, Advanced

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 52,000 - 78,000; Full time

Job summary

Blue Shield of CA is seeking a Clinical Service Coordinator, Advanced to join the Care Management team. You will coordinate care for vulnerable members, connect them to resources, and provide individualized care coordination to improve health outcomes.

The role emphasizes collaboration, advocacy, and strong communication as you work within a hybrid virtual work model with occasional in-office needs.

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.
• 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.

Responsibilities

• Coordinate care for our most vulnerable members to help them overcome barriers and access needed services.
• Provide individualized care coordination based on identified needs and eligibility for services.
• Report to the Manager of Care Management and support leadership of the Care Management team.

Skills

Care coordination

Interpersonal skills

Organizational skills

Communication

Education

High School diploma or GED

1 year 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.