Join Blue Shield of California as a Clinical Services Coordinator, where you'll play a crucial role in coordinating care for members in need. You'll support clinical staff, manage member interactions, and ensure continuity of care in a dynamic environment.
Key Responsibilities
Serve as a primary point of contact for members via phone interactions
Conduct outreach to healthcare providers and coordinate appointments
Oversee designated queues and workstreams with standardized reports
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 as a patient advocate, health coach, care navigator
2-year work experience with managed health care utilization or case management