Clinical Services Coordinator, Advanced

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

Blue Shield of CA is seeking a Clinical Service Coordinator, Advanced to support our Care Management team. The role focuses on coordinating care for high-need members, connecting them with essential services, and improving health outcomes through individualized plans.

The position emphasizes strong communication, collaboration with care providers, and the ability to navigate benefits across commercial, Medicare, and Medi-Cal programs. Hybrid, with in-office needs as required.

Qualifikationen

• 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.

Aufgaben

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

Kenntnisse

Interpersonal communication

Organizational skills

Ausbildung

High School diploma or GED

Relevant experience in lieu of diploma

Jobbeschreibung

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.