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Clinical Services Coordinator, Intermediate

Blue Shield of California

Mather, CA
15 days ago

Job Description

Join Blue Shield of California as a Clinical Services Coordinator, where you'll support clinical staff in coordinating care for members, manage authorization requests, and ensure quality service in a fast-paced environment.

Key Responsibilities

  • Coordinate care for high risk/high-cost patient populations
  • Process authorization and admission notification requests
  • Oversee designated queues and workstreams
  • Provide administrative support to Behavioral Health management
  • Serve as initial point of contact for providers and members

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, or care navigator
  • 2 years of experience in managed health care utilization or case management