What are the responsibilities and job description for the Clinical Support Specialist II position at CCHP Cook Children's Health Plan?
Location: Calmont Operations Building Department: Clinical Support & Prevention Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Provides support for all Service Coordination Department functions which include utilization management, service coordination, and population health management. This position also provides health education and care coordination services for CCHP members telephonically, in home, or health facility settings. Additional Information: Provides support for all Service Coordination Department functions which include utilization management, service coordination, and population health management. This position also provides health education and care coordination services for CCHP members telephonically, in home, or health facility settings. Education & Experience: High School graduate minimum. Associate Degree preferred but not required. Three years' experience in a managed care or medical office/hospital environment. Bi-lingual (English/Spanish) Required. Expert proficiency in conversational, reading, writing, and translating medical terms as well as diagnoses. Must pass Spanish test prior to hire. Knowledge, Skills & Abilities: Superior verbal and written communication. Strong customer service skills, strong phone skills. Familiarity with basic medical terminology and ICD-9 and CPT coding. Personal computer skills. Expertise with various software applications/databases (i.e., Microsoft Office). Highly organized, ability to prioritize, and demonstrate moderately complex problem solving skills. Ability to work autonomously with minimal supervision in various settings. Basic service coordination concepts. Certification/Licensure: Certified Community Health Worker. About Us: Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise. Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination. Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen. Please, create a profile and upload your resume/CV by clicking the Get Started button.