Clinical Support Specialist
$19 - $20 per hourSPECTRAFORCE
1 week ago Be among the first 25 applicants
This range is provided by SPECTRAFORCE. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$19.00/hr - $20.00/hr
Direct message the job poster from SPECTRAFORCE
Senior Recruiter at SPECTRAFORCE Technologies
Job Title: Clinical Support Coordinator 2
Location: Remote in California
Duration of the assignment: 6+ Months (Potential to extend or convert to a permanent role depending on the performance and business needs)
Shift timings: 8:30AM- 5:00PM Pacific Times.
The pay rate starts from $20/hour
Day to Day Responsibilities
- Review CalAIM Community Supports Screening documents to determine member eligibility for CalAIM Community Supports.
- Follow up with internal staff and providers to support the successful referral and enrollment of members into CalAIM Community Supports services.
- Process daily service authorizations and denials for requested Community Supports services.
- Perform data entry, tracking and case documentation for all members referred for services, including enrollment status, authorizations, encounter data, care coordination activities, clinical case records and regulatory reports.
- Support with reconciling provider invoicing and claims.
- Support with sending communications to Community Supports Providers to ensure timely submission of deliverables and reports.
- Support with implementation of CalAIM Community Supports trainings to internal teams, external providers, and community-based organizations by providing ongoing education about CalAIM Community Supports services and referral process.
- Identify and help to address gaps/barriers in the care coordination process to improve member access to services.
- Review Provider reports to ensure accurate data collection and reporting · Respond to inquiries regarding service authorization request status.
- Actively participate in Multidisciplinary Team meetings to coordinate member care and support member retention in CalAIM Community Supports services.
- Conduct outreach calls to members, as needed, to verify engagement in Community Supports services.
- Participate actively in ensuring that all state and federal rules and regulations are followed.
- Perform other assigned duties, as required.
Required Skills (top 3 non-negotiables):
- Detailed-oriented
- Experience with data entry and/or utilization management
Preferred Skills (nice to have):
- Health Plan and/or Medi-Cal experience/knowledge
- Experience working in electronic medical record systems
Education Requirements: High School Diploma or equivalent
Software Skills Required: Word, Excel, Outlook, Teams
Seniority level
Seniority level
Entry level
Employment type
Employment type
Full-time
Job function
Job function
Administrative-
Industries
Pharmaceutical Manufacturing, Hospitals, and Hospitals and Health Care
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