The Clinical Support Specialist II position at Cook Children's Health Plan in Calmont, Texas, involves providing support for service coordination, health education, and care coordination for members. The role requires experience in managed care environments and proficiency in English and Spanish, along with strong communication and organizational skills
Job Summary
This position provides comprehensive support for Service Coordination Department functions including utilization management and population health management.
The role involves delivering health education and care coordination services to CCHP members through telephonic, in-home, or health facility settings.
Candidates must be bi-lingual in English and Spanish with expert proficiency in translating medical terms and diagnoses.
Matching Summary
Match Score: 85
The Clinical Support Specialist II position at Cook Children's Health Plan in Calmont, Texas, involves providing support for service coordination, health education, and care coordination for members. The role requires experience in managed care environments and proficiency in English and Spanish, along with strong communication and organizational skills.
Skills & Requirements
Must-have
Bi-lingual English Spanish proficiency required
Expert medical terminology translation skills
Strong verbal and written communication abilities
Familiarity with ICD-9 and CPT coding standards
Proficiency in Microsoft Office software applications
Nice-to-have
Ability to work autonomously with minimal supervision
Moderately complex problem solving capabilities
Strong customer service orientation
Experience in managed care environments
Highly organized prioritization skills
Key Requirements
High School graduate minimum education
Three years experience in managed care or hospital environment
Certified Community Health Worker credential required