Hybrid CalAIM Clinical Support & Care Coordinator

Talent Software Services, Inc.; United States; Hybrid; USD 40,000 - 52,000; Full time

Job summary

Talent Software Services, Inc. is hiring for a Hybrid CalAIM Community Supports Coordinator. In this role you will review screening documents to determine eligibility, support referrals and enrollment, and process daily service authorizations and denials.

You will perform data entry and maintain case documentation, assist with provider invoicing, and participate in multidisciplinary teams to improve access to services and ensure regulatory compliance.

Qualifications

• High school diploma or GED required.
• 2–4 years of experience required.

Responsibilities

• Review CalAIM Community Supports screening to determine eligibility.
• Follow up with staff and providers to support enrollment of members.
• Process daily service authorizations and denials for Community Supports services.
• Data entry, tracking, and documentation for enrolled members (status, authorizations, encounters, care coordination).
• Reconcile provider invoicing and claims.
• Communicate with Community Supports Providers to ensure timely submission of deliverables.
• Educate internal teams and providers about CalAIM Community Supports services and referral process.

Skills

Detail oriented

Written and verbal communication

Data entry and/or utilization

Education

High school diploma or GED

Tools

Word

Excel

Outlook

Teams

Job description

Talent Software Services, Inc. is hiring for a Hybrid CalAIM Community Supports Coordinator. In this role you will review screening documents to determine eligibility, support referrals and enrollment, and process daily service authorizations and denials.

You will perform data entry and maintain case documentation, assist with provider invoicing, and participate in multidisciplinary teams to improve access to services and ensure regulatory compliance.