Job Title: Clinical Support Coordinator 2
Location: Remote
Assignment Duration: 6+ Months (poteintial of extension)
Shift- Standard shift 

Position Summary
The Clinical Support Coordinator 2 will support CalAIM Community Supports activities, including member eligibility screening, referrals and enrollment, service authorizations, data entry, case documentation, provider coordination, and member outreach.

Key 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 training 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

• Detailed-oriented.
• Experience working in electronic medical record systems.
• Experience with data entry and/or utilization management.

Preferred Skills

• Health Plan and/or Medi-Cal experience/knowledge.
• Excellent written and verbal communication.
• Interest/passion for social services delivery.

Education

• High School Diploma or equivalent.

Software Skills Required

• Word
• Excel
• Outlook
• Teams

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position's pay range is $22.00/hr - $26.00/hr.