Senior Clinical Services Coordinator Hybrid Care Navigator

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

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.

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

• 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.

Skills

Interpersonal communication

Organizational skills

Education

High School diploma or GED

Relevant experience in lieu of diploma

Job description

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.