Join Blue Shield of California as a Clinical Services Coordinator, Intermediate, where you'll support the Behavioral Health Team by coordinating care for members and assisting clinical staff in daily operations. This role emphasizes member interaction, provider outreach, and data management in a dynamic healthcare environment.
Key Responsibilities
Serve as a primary point of contact for members via phone interactions
Conduct outreach to healthcare providers for appointment coordination
Oversee designated queues and workstreams with standardized reporting
Assist in coordinating care for high risk/high-cost patient populations
Provide support to Case Management and Utilization Management teams
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 prior relevant experience
Preferred Qualifications
Certification and/or training as a patient advocate, health coach, care navigator
2-year work experience with managed health care utilization or case management