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California Children Services Specialist

Community Health Group • Chula Vista, CA, US • published 2026-11-09 07:00:06.281416

Description

EEO\-1: Administrative Support Workers **POSITION SUMMARY** Assists with the coordination of care with the local CCS program to identify and refer children with CCS\-eligible conditions. **COMPLIANCE WITH REGULATIONS** Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D and Special Needs Plan (SNP). **RESPONSIBILITIES** * Assists in improving the identification of members who are medically eligible for the CCS program by utilizing current CCS guidelines and established policies and procedures * Develops reports to identify possible cases or diagnoses and working with department staff to maximize opportunities to identify potential CCS eligible cases. * Submit applications within 5 business days of case identification to CCS program and ensure no applications are returned or rejected as incomplete. * Review cases pending CHG determination based on medical documentation submitted by practitioners to CCS; * Work with staff and providers to obtain...

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