Clinical Support Specialist II

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.