{"id":1481242,"url":"https://alion.io/job/blueshieldca-clinical-services-coordinator-intermediate-bilingual","title":"Clinical Services Coordinator, Intermediate (Bilingual)","company":{"id":1766006,"name":"Blue Shield of California","domain":"blueshieldca.com","url":"https://alion.io/company/blueshieldca","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Oracle","truth_index":{"grade":"A","score":88,"open_postings":6,"ghost_share":0,"stale_share":0.667,"repost_share":0,"time_to_fill_p50_days":11,"computed_at":"2026-10-12T06:55:09Z"}},"role":"Administrative","role_family":"Administrative","seniority":"middle","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Long Beach, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":45000,"max_usd":89000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":856},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false},{"name":"Outlook","optional":false}],"status":"closed","first_seen_at":"2026-09-29T19:00:47Z","employer_posted_date":"2026-09-29","last_verified_at":"2026-10-03T09:11:46Z","board_verified":false,"closed_at":"2026-10-03T09:11:46Z","days_open":3,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":3},"description":"Your Role\nThe 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.\nOur leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.\n Your Work\nIn this role, you will:\nTelephonic outreach to conduct the Health Risk Assessment (HRA) with the member\nTelephonic outreach to members as directed by protocol or RN care manager or social worker.\nAssists with system letters, requests for information and data entry. \nBack up to phones when needed.\nProvides administrative/clerical support to medical and disease management programs. \nActs as a liaison, gathers information, and track all patients referred to the care management programs. \nAssists 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.\nDocuments all patient specific information in appropriate information systems.\nAssists in verifying health plan benefits and coordinating ambulatory services.\nDemonstrates cultural competence to work effectively, respectfully, and sensitively within the client’s cultural context.\nAssists with precepting responsibilities for new hires and auditing efforts. \nNote: The selected candidate will be asked to come onsite to the Long Beach, CA office 2 times per month\n Your Knowledge and Experience\nRequires a High School Diploma or GED or 1 year of additional relevant experience in lieu of a diploma \nRequires a minimum of 3 years of relevant experience\nRequires a minimum of 1 year experience in a managed care environment. \nBi-Lingual, English/Spanish is required \nExperience using MS Office applications including Word, Excel, PowerPoint, Outlook and Teams. Experience using Salesforce preferred. \nKnowledge of clinical workflow to assist nurses with research and issue resolution preferred\nHealth insurance/ managed care experience (Commercial, Medicare, and Medi-Cal) preferred. Knowledge of Medicare eligibility criteria preferred. \nExperience working with community resources and member advocacy preferred \nExperience working in an integrated practice in a triad model of care preferred \nHybrid Virtual Work\nThis role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.","description_format":"text","description_chars":3179,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"Spanish","level":"All levels","optional":false}]},"benefits":["Continuous learning","Health insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-29T21:14:29Z"},{"event":"close","at":"2026-10-03T09:11:46Z"}],"visa":[],"liveness":null,"pay":null,"html_url":"https://alion.io/job/blueshieldca-clinical-services-coordinator-intermediate-bilingual","json_url":"https://alion.io/job/blueshieldca-clinical-services-coordinator-intermediate-bilingual.json","meta":{"generated_at":"2026-10-12T21:40:14Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":35350,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1766006},"rest":"https://alion.io/mcp/rest/get_company?id=1766006"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fblueshieldca-clinical-services-coordinator-intermediate-bilingual"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fblueshieldca-clinical-services-coordinator-intermediate-bilingual"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fblueshieldca-clinical-services-coordinator-intermediate-bilingual"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/blueshieldca-clinical-services-coordinator-intermediate-bilingual\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fblueshieldca-clinical-services-coordinator-intermediate-bilingual"}]}