Clinical Support Specialist Ii

Cook Children's Health Plan

Calmont Operations Building, Texas, United States
Bi-lingual english spanish proficiency required
Expert medical terminology translation skills
Strong verbal and written communication abilities
This position provides comprehensive support for Service Coordination Department functions including utilization management and population health management

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 members telephonically, in home settings, or at health facilities.
  • Cook Children's Health Plan serves nearly 120,000 people in low-income families across six counties in the Tarrant county service area.

Matching Summary

This position provides comprehensive support for Service Coordination Department functions including utilization management and population health management.

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 and phone skills
  • Experience in managed care environments preferred
  • 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
  • Must pass Spanish language test prior to hire
  • Associate degree preferred but not required

Work Rights

Not specified

Tailored Resume

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