Your Role

The Care Management Department is seeking a dedicated and compassionate Clinical Service Coordinator, Specialist to join our team. The Lead Clinical Service Coordinator will report to the Supervisor of Care Operations and will oversee and support the team of Clinical Service Coordinators. You will play a vital role in spearheading outreach and engagement efforts with our members, ensuring high-quality care management services, and conducting thorough assessments to identify member needs. The successful candidate will interact telephonically with members to assist with complex 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

• Requires advanced knowledge within a specific discipline typically gained through extensive work experience and/or education.
• Requires minimum of 7 years of prior relevant experience. May require vocational or technical education in addition to prior work experience.
• Requires a high school diploma or equivalent.
• Develops strategies along with supervisor to ensure team members meet daily workload and stays in compliance with daily management system vision board
• Understanding of basic member engagement principles, techniques and practices and their application to complex social and clinical problems.
• Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
• Community resources and advocacy
• 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

Pay

The pay range for this role is: $ 26.37 to $ 36.92 for California.

Note

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

#LI-AG3