Clinical Support Specialist III

Cook Children's Health Plan; Fort Worth (TX); On-site; USD 52,000 - 78,000; Full time

Job summary

Cook Children's Health Plan in Fort Worth, TX seeks a Clinical Support Specialist III to support Service Coordination functions, deliver health education, and assist with case management for members with varying health needs.

The role requires a high school diploma or equivalent, 5 years in managed care or medical settings, and bilingual English/Spanish with a Spanish test requirement. Strong communication, problem solving, and familiarity with ICD-9/CPT are essential.

Qualifications

• High school diploma or equivalent required.
• Bachelor of Social Work preferred.
• Five years’ experience in a managed care or medical office/hospital environment.
• Bi-lingual (English/Spanish) Required. Must pass Spanish test prior to hire.

Responsibilities

• Provide support for all Service Coordination Department functions including health education and service coordination services for CCHP members.
• Handle call issue escalation for CCHP members or providers.
• May manage a caseload of members with low to moderate health complexity and assist Team Lead during absences.

Skills

Bilingual English/Spanish

Verbal and written communication

Motivational interviewing

Adult learning principles

Case management

ICD-9 CPT coding familiarity

Microsoft Office

Prioritization & problem solving

Education

Bachelor of Social Work preferred

Licensed Bachelor Social Work

Certified Community Health Worker

Tools

Electronic Health Records (EHR) systems

Healthcare databases

Job description

## Clinical Support Specialist IIIApply: Fort Worth, TX: Full time: Posted 4 Days Ago: JR-119333**Location:**Calmont Operations Building**Department:**Clinical Support & Prevention**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**Provide support for all Service Coordination Department functions including health education and service coordination services for CCHP members. This position also provides call issue escalation for CCHP members or providers, may manage a case load of members with low to moderate health complexity or may provide support for Team Lead duties, during the Team Lead’s absence.**Additional Information:**Provide support for all Service Coordination Department functions including health education and service coordination services for CCHP members. This position also provides call issue escalation for CCHP members or providers, may manage a case load of members with low to moderate health complexity or may provide support for Team Lead duties, during the Team Lead’s absence. **Education & Experience*** High school diploma or equivalent required. Bachelor of Social Work preferred.* Five years’ experience in a managed care or medical office/hospital environment.* **Bi-lingual (English/Spanish) Required**. Expert proficiency in conversational, reading, writing, and translating medical terms as well as diagnoses. Must pass Spanish test prior to hire. **Knowledge, Skills & Abilities*** Superior verbal and written communication including motivational interviewing and adult learning principles.* Familiarity with basic medical terminology and ICD-9 and CPT coding.* Personal computer skills. Expertise with various software.applications/databases (i.e., Microsoft Office).* Highly organized, ability to prioritize, and demonstrate complex problem solving skills.* Ability to work autonomously with minimal supervision.* Demonstrated care coordination concepts. **Licensure, Registration, and/or Certification:*** Licensed Bachelor Social Work preferred.* Certified Community Health Worker required.