Join Blue Shield of California as a Clinical Services Coordinator, where you'll be the key liaison for members, coordinate care, and support clinical operations in a dynamic environment. This role is pivotal in ensuring high-quality service and continuity of care for our members.
Key Responsibilities
Serve as a primary point of contact for members
Conduct outreach to healthcare providers for appointment availability
Coordinate appointments and ensure continuity of care
Oversee designated queues and workstreams
Assist in coordinating care for high risk/high-cost patients
Provide support to 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 relevant experience
Preferred Qualifications
Certification and/or training as a patient advocate
Health coach or care navigator experience
2 years of experience in managed health care utilization or case management