Clinical Services Coordinator, Advanced

Blue Shield of CA; Redding (CA); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Blue Shield of CA is seeking a Clinical Service Coordinator, Advanced within the Care Management team. You will provide care coordination to our most vulnerable members, helping them overcome barriers and access needed services to improve health and quality of life.

The role reports to the Manager of Care Management and emphasizes compassionate, person-centered support, collaboration with care teams, and effective communication with members and providers.

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

• Provide care coordination to our most vulnerable members
• Connect members with needed resources and services
• Collaborate with care teams to overcome barriers and improve outcomes

Skills

Interpersonal communication

Organizational skills

Patient 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.