Your Role

The Medical Care Solutions Federal Employee Program Clinical Support Coordinator team provides Care Management, Prior Authorization, and Utilization Management services to our members. The HEDIS Clinical Support Coordinator will report to the Manager, Non-Clinical Operations. In this role you will be responsible for placing a high-volume of Outreach & Engagement telephone calls encouraging Care Management program participation. This role will also process Care Management requests including faxes, phone calls, and emails from Hospice Agencies, Residential Treatment Centers, Skilled Nursing Facilities, and more.

Your Knowledge and Experience

• Requires a high school diploma or equivalent
• Requires at least 3 years of prior relevant experience
• Requires strong attendance record
• Requires solid technical skills - ability to navigate MS programs and learn in-house software
• Requires personable communication and strong teamwork skills
• Preferred - experience with medical coding - CPT/Dx

Pay

The pay range for this role is: $ 20.70 to $ 28.98 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.

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