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Blue Shield of CA

Clinical Services Coordinator, Intermediate

Blue Shield of CA, Redding, California, United States, 96001

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Your Role The Care Management Department is seeking a dedicated and compassionate Clinical Service Coordinator (CSC) to join our team. The Clinical Service Coordinator will report to the Supervisor of Care Operations. The CSC will play a vital role in outreach and engagement efforts with our members, introducing them to care management services, and conducting assessments to identify their needs. The successful candidate will interact telephonically with members to assist with simple care coordination needs and facilitate connections between members and appropriate services, including internal nurse care managers, vendors, and behavioral health providers. Your Knowledge and Experience A minimum of a high school diploma or equivalent required

A minimum of 3 years of relevant experience is required

A minimum of 1 year experience in a managed care environment preferred

Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred

Community resources and advocacy experience preferred

Ability to identify issues and develop effective solutions to meet members' needs

Flexibility to adjust to changing circumstances and member needs

Strong verbal and written communication skills to effectively convey information to members and colleagues

Ability to work an 8 hour shift between the hours of 8 am to 7 pm PST. Ability to work Saturdays once per quarter.