Join Blue Shield of California as a Clinical Services Coordinator, Intermediate, where you will support clinical staff in coordinating care for members. You'll manage authorization requests, oversee member needs, and provide essential administrative support, all while working in a dynamic, production-based environment.
Key Responsibilities
Coordinate care for high risk/high-cost patient populations
Process authorization requests and utilization management calls
Oversee designated queues and workstreams for member needs
Provide support to case management and utilization management teams
Perform data entry for authorization forms and high-risk member information
Serve as initial contact for providers and members in behavioral health management
Assist with administrative support to Behavioral Health management
Required Qualifications
High school diploma or equivalent
At least 3 years of prior relevant experience
Ability to work in a high-paced production environment
Preferred Qualifications
Certification as a patient advocate, health coach, care navigator
2-year work experience with managed health care utilization or case management