Clinical Support Specialist III

Cook Children's; Fort Worth (TX); Hybrid; USD 52,000 - 72,000; Full time

Job summary

Cook Children's in Fort Worth, TX seeks a Clinical Support Specialist III to provide service coordination support, health education, and case management for CCHP members. This role includes call issue escalation and potential Team Lead duties in their absence.

Bi-lingual English/Spanish required with proficiency in medical terminology and coding basics. Five years' managed care or hospital office experience preferred; BSWS encouraged; Licensed Social Worker preferred; Certified Community Health

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. Expert proficiency in conversational, reading, writing, and translating medical terms as well as diagnoses. 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.
• Provide support for Team Lead duties during the Team Lead’s absence.

Skills

Bilingual English/Spanish

Motivational interviewing

Adult learning principles

Medical terminology

ICD-9 and CPT coding

Microsoft Office

Care coordination

Autonomy / work independently

Problem solving

Organization

Education

High school diploma or equivalent

Bachelor of Social Work preferred

Tools

Microsoft Office

Job description

## Clinical Support Specialist IIIApply: Fort Worth, TX: Full time: Posted Today: 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.