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Clinical Services Coordinator, Intermediate

Blue Shield of California

Mather, CA
14 hours ago

Job Description

Join Blue Shield of California as a Clinical Services Coordinator, where you'll be the key liaison for members in need of behavioral health services. You'll coordinate care, manage appointments, and support clinical staff in a dynamic environment focused on quality and continuity of care.

Key Responsibilities

  • Serve as a primary point of contact for members via phone interactions
  • Conduct outreach to healthcare providers to coordinate appointments
  • Oversee designated queues and workstreams with standardized reports
  • Assist in coordinating care for high-risk/high-cost patient populations
  • Support Case Management and Utilization Management teams
  • Perform data entry for authorization forms and member information
  • Provide administrative support to Behavioral Health management

Required Qualifications

  • High school diploma or equivalent
  • At least 3 years of prior relevant experience

Preferred Qualifications

  • Certification as a patient advocate, health coach, or care navigator
  • 2 years of experience with managed health care utilization or case management