Clinical Services Coordinator, Intermediate

Your Role

The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serve as an 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 ensure that members are effectively and efficiently managed through the medical/disease management process as needs require and in helping the RN care manager or social worker in arranging appropriate medical equipment (DME), home health, follow-up appointments, and other services related to care coordination.

Your Knowledge and Experience

• Requires a minimum of a high school diploma
• Requires a minimum of 3 years of relevant experience
• Prefers minimum of 1 year experience in a managed care environment.
• Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
• Community resources and advocacy
• Practice integration in a triad model of care