Clinical Services Coordinator, Advanced

Blue Shield of CA; San Diego (CA); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Blue Shield of California seeks a Clinical Service Coordinator, Advanced to join our Care Management team. You will provide care coordination to our most vulnerable members, help them overcome barriers, and connect them with needed services based on eligibility for services.

This hybrid role combines virtual work with occasional office collaboration and leadership development opportunities. You will report to the Care Management Manager and partner with community resources to improve health

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 and help them overcome barriers.
• Connect members with needed resources and provide individualized care coordination.
• Coordinate based on each member’s identified needs and eligibility for services.
• Report to the Manager of Care Management and support care team initiatives.

Skills

Interpersonal communication

Organizational skills

Health coaching knowledge

Education

High School diploma or GED

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.