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Job Description
Join Blue Shield of California as a Clinical Services Coordinator Specialist, where you'll lead daily operations in care management, support team performance, and enhance workflow efficiency. Your bilingual skills will be essential in promoting effective communication and problem resolution.
Key Responsibilities
Manage daily operations within the PHP – Care Management Department
Support case management services and coordinate care for members
Develop strategies to ensure team compliance with workload
Monitor and review staff activities, providing feedback
Collaborate with management on policies and procedures
Generate and monitor reports on team performance
Conduct daily and monthly meetings
Handle customer/provider problematic calls
Required Qualifications
High school diploma or equivalent
Bilingual Spanish required
Minimum of 7 years of experience
Advanced knowledge within a specific discipline
Preferred Qualifications
Vocational or technical education
Understanding of basic member engagement principles
Knowledge of specific health issues and medical terminology