Blue Shield of California · 12 hours ago
Clinical Services Coordinator, Intermediate (Bilingual)
Long Beach, CA, United States
Full-time
Hybrid
Mid Level
$24.50/hr - $34.31/hr
3+ years expBlue Shield of California is a healthcare organization focused on creating a sustainable and affordable healthcare system. The Clinical Services Coordinator will serve as a point of contact for providers and members, managing the medical management process and coordinating care for members with high needs.
Financial ServicesHealth InsuranceNon Profit
No H1B
Responsibilities
Telephonic outreach to conduct the Health Risk Assessment (HRA) with the member
Telephonic outreach to members as directed by protocol or RN care manager or social worker
Assists with system letters, requests for information and data entry
Back up to phones when needed
Provides administrative/clerical support to medical and disease management programs
Acts as a liaison, gathers information, and tracks all patients referred to the care management programs
Assists in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc
Documents all patient specific information in appropriate information systems
Assists in verifying health plan benefits and coordinating ambulatory services
Demonstrates cultural competence to work effectively, respectfully, and sensitively within the client’s cultural context
Assists with precepting responsibilities for new hires and auditing efforts
Qualification
Required
A minimum of a high school diploma or equivalent is required
A minimum of 3 years of relevant experience is required
Bilingual, English/Spanish is required
Experience using MS Office applications including Word, Excel, PowerPoint, Outlook and Teams
Preferred
Experience using Salesforce preferred
Knowledge of clinical workflow to assist nurses with research and issue resolution preferred
Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred
Knowledge of Medicare eligibility criteria preferred
Experience working with community resources and member advocacy preferred
Experience working in an integrated practice in a triad model of care preferred
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
2026-01-13
Fierce Healthcare
2025-12-15
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