3 Healthcare Services jobs in Redwood Valley
Clinical Services Coordinator, Intermediate
95650 Redwood Valley, California
Blue Shield of California
Posted today
Job Viewed
Job Description
Your Role
The Behavioral Health Team is responsible the coordination of care and assistance in finding providers for members in need. The Clinical Services Coordinator (CSC)- Intermediate (Appointment Assistance) will report to the Supervisor, Operations -Behavioral Health. In this role you will be for supporting clinical staff day-to-day operations.
Your Work
In this role, you will:
- Serve as a primary point of contact for members by providing support via inbound and outbound phone interactions
- Conduct outreach to healthcare providers and programs to obtain information on services and appointment availability, coordinate appointments, and ensure continuity of care.
- Work in a production-based environment with defined production and quality metrics.
- Oversee designated queues and workstreams, with standardized reports to detect and address member needs.
- Assists 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.
- Provide support to Case Management and/or Utilization Management team on member eligibility, benefits, and provider network availability.
- Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.
- Provides administrative/clerical support to Behavioral Health management.
Your Knowledge and Experience
- Requires a high school diploma or equivalent
- Requires at least 3 years of prior relevant experience
- Desired certification and/or training as a patient advocate, health coach, care navigator or other relevant health plan experience
- 2-year work experience with managed health care utilization or case management department or a similar medical management department at a different payor, facility, or provider/group.
- Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met.
- Knowledge of clinical workflow to assist BH Care Managers with case creation, research/issue resolution and other UM related functions, as necessary.
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0
Clinical Services Coordinator, Intermediate
95650 Redwood Valley, California
Blue Shield of California
Posted today
Job Viewed
Job Description
Your Role
The Behavioral Health Team is responsible the coordination of care and assistance in finding providers for members in need. The Clinical Services Coordinator (CSC)- Intermediate (Appointment Assistance) will report to the Supervisor, Operations -Behavioral Health. In this role you will be for supporting clinical staff day-to-day operations.
Your Work
In this role, you will:
- Serve as a primary point of contact for members by providing support via inbound and outbound phone interactions
- Conduct outreach to healthcare providers and programs to obtain information on services and appointment availability, coordinate appointments, and ensure continuity of care.
- Work in a production-based environment with defined production and quality metrics.
- Oversee designated queues and workstreams, with standardized reports to detect and address member needs.
- Assists 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.
- Provide support to Case Management and/or Utilization Management team on member eligibility, benefits, and provider network availability.
- Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.
- Provides administrative/clerical support to Behavioral Health management.
Your Knowledge and Experience
- Requires a high school diploma or equivalent
- Requires at least 3 years of prior relevant experience
- Desired certification and/or training as a patient advocate, health coach, care navigator or other relevant health plan experience
- 2-year work experience with managed health care utilization or case management department or a similar medical management department at a different payor, facility, or provider/group.
- Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met.
- Knowledge of clinical workflow to assist BH Care Managers with case creation, research/issue resolution and other UM related functions, as necessary.
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1
Medical Assistant/Patient Services Representative
95453 Lakeport, California
Sutter Health
Posted 3 days ago
Job Viewed
Job Description
We are so glad you are interested in joining Sutter Health!
**Organization:**
SLH-Sutter Lakeside Hospital
**Position Overview:**
Provides clinical and clerical support to providers and members of the patient care team(s) by performing a variety of back office and patient-related tasks supporting the delivery of high-quality patient care. Helps ensure smooth patient and workflow within the department and assists the patient care team in implementing the medical plan of care. Integrates education, technical competence, and patient interaction skills to gain confidence and cooperation from the patient, their family/support group, and other healthcare providers. Performs all duties under the direction of a clinician.
**Job Description** :
**EDUCATION:**
HS Diploma: High School Diploma or General Educational Diploma (GED)
Other: Completion of a course of study consistent with the requirements for Medical Assistants as specified by the Medical Board of California. (Must present diploma within 90 days)
OR Other: Equivalent Sutter Health Training program (approved for SBMF and SCH)
OR Completion of Sutter Health on-the-job training equivalent to one year
**CERTIFICATION & LICENSURE:**
BLS-Basic Life Support Healthcare Provider
_MA Certification by a California Medical Board recognized agency is required to be eligible for an incentive (to be implemented in 2025)_
**TYPICAL EXPERIENCE:**
1 year of recent relevant experience.
**SKILLS AND KNOWLEDGE:**
General knowledge of various medical procedures, views, and equipment.
Basic understanding of human anatomy, physiology, pathology, and medical terminology.
Competent and validated in basic Medical Assisting skills such as taking vital signs, preparing patients for exam, and administering injections.
Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
Possess written and verbal communication skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines.
General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel, and Outlook) and electronic health record (EHR).
Ability to
-Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
-Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
-Identify, evaluate, and resolve standard problems by selecting appropriate solutions from established options.
-Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
**Job Shift:**
Days
**Schedule:**
Full Time
**Shift Hours:**
8/10 Blended
**Days of the Week:**
Variable
**Weekend Requirements:**
Saturday
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $26.70 to $33.37 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._
**Organization:**
SLH-Sutter Lakeside Hospital
**Position Overview:**
Provides clinical and clerical support to providers and members of the patient care team(s) by performing a variety of back office and patient-related tasks supporting the delivery of high-quality patient care. Helps ensure smooth patient and workflow within the department and assists the patient care team in implementing the medical plan of care. Integrates education, technical competence, and patient interaction skills to gain confidence and cooperation from the patient, their family/support group, and other healthcare providers. Performs all duties under the direction of a clinician.
**Job Description** :
**EDUCATION:**
HS Diploma: High School Diploma or General Educational Diploma (GED)
Other: Completion of a course of study consistent with the requirements for Medical Assistants as specified by the Medical Board of California. (Must present diploma within 90 days)
OR Other: Equivalent Sutter Health Training program (approved for SBMF and SCH)
OR Completion of Sutter Health on-the-job training equivalent to one year
**CERTIFICATION & LICENSURE:**
BLS-Basic Life Support Healthcare Provider
_MA Certification by a California Medical Board recognized agency is required to be eligible for an incentive (to be implemented in 2025)_
**TYPICAL EXPERIENCE:**
1 year of recent relevant experience.
**SKILLS AND KNOWLEDGE:**
General knowledge of various medical procedures, views, and equipment.
Basic understanding of human anatomy, physiology, pathology, and medical terminology.
Competent and validated in basic Medical Assisting skills such as taking vital signs, preparing patients for exam, and administering injections.
Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
Possess written and verbal communication skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines.
General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel, and Outlook) and electronic health record (EHR).
Ability to
-Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
-Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
-Identify, evaluate, and resolve standard problems by selecting appropriate solutions from established options.
-Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
**Job Shift:**
Days
**Schedule:**
Full Time
**Shift Hours:**
8/10 Blended
**Days of the Week:**
Variable
**Weekend Requirements:**
Saturday
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Non-Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $26.70 to $33.37 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._
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