Your Role

The Care Management team is a member facing team that provides care coordination to our most vulnerable members to improve the health equity and quality for each person we serve. The Clinical Service Coordinator, Advanced will report to the Supervisor of Operations, Care Management. In this role you will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC will interact telephonically with members as per established protocol or direction to coordinate member's social determinant of health needs. The CSC will assist members with linking them to resources that are needed and provide care coordination that is individualized for each member identify for services. The main goal of this team is to link members to the services they need to improve their health equity and health quality.

Your Knowledge and Experience

• Requires a high school diploma or equivalent
• Requires at least 5 years of prior relevant experience
• Desired Certification and/or training as a patient advocate, health coach, care navigator
• Health insurance/managed care experience (Commercial, IFP, Medicare, and Medi-Cal)
• Community resources and advocacy
• Practice integration in a triad model of care

Pay

The pay range for this role is: $ 23.83 to $ 33.36 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.