Join Blue Shield of California as a Clinical Services Coordinator, Intermediate, where you'll play a critical role in coordinating care for members in need. Support clinical staff in a fast-paced environment while managing authorization requests and assisting high-risk patient populations.
Key Responsibilities
Coordinate care and assist members in finding providers
Process authorization requests and case management calls
Oversee queues and workstreams with standardized reports
Assist high-risk patients with referrals and medical services
Support case management and utilization management teams
Data entry for authorizations and member information
Initial point of contact for providers and members
Provide administrative support to behavioral health management
Required Qualifications
High school diploma or equivalent
At least 3 years of relevant experience
Preferred Qualifications
Certification as a patient advocate, health coach, or care navigator
2 years of experience in managed health care utilization or case management