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Member Ser. Social Worker

3 months ago

San Francisco, United States North East Medical Services Full time

The Member Services Social Worker I carries out eligibility screening for clients and prospective clients on a regular basis; conducts psychosocial assessments, assesses the health and related needs of prospective clients and makes appropriate referrals; advises and counsels clients regarding a variety of personal matters.

ESSENTIAL JOB FUNCTIONS:

  • Conducts psychosocial assessments for perinatal patients.
  • Participates in Comprehensive Perinatal Service Program Committee.
  • Advises and counsels clients regarding family, economic, physical, and emotional matters. Provides assistance or referral in resolving these matters whenever appropriate.
  • Informs prospective clients of the services available through NEMS.
  • Conducts interviews to identify and determine patient eligibility for NEMS sliding fee program, public health and social; registers clients for NEMS service; obtains demographic information; assists in completion of applications and forms; and verifies insurance eligibility.
  • Completes assessment on health and social needs and makes referrals to other NEMS services and community health agencies as appropriate.
  • Completes all training programs and certifications; maintains an active Covered CA Certified Enrollment Counselor certification as required. Participates in training and meetings as appropriate.
  • Provides one-on-one or group education on health programs, social programs, and important changes related to these programs as needed.
  • Provides confidential and reliable enrollment services to individuals and families. Enrollment activities include application assistance for Medi-Cal, Covered CA, Healthy Kids (HK), Healthy San Francisco (HSF), Medi-Cal (MC), CalFresh, and other public cash aid programs as they become available.
  • Responsible for case management activities consisting of one-on-one follow-up, tracking, reporting with the ultimate goal of connecting individuals and families to health coverage programs.
  • Investigates and resolves client problems involving enrollment issues with Medi-Cal Covered CA insurance, and other health coverage programs.
  • Maintains needed data on clients; does recording in clients’ medical records; and prepares statistical reports as required.
  • Maintains up-to-date on eligibility and changes of all public programs.
  • Perform Member Services duties on an as needed basis
  • Performs other job duties as required by manager/supervisor.
QUALIFICATIONS:
  • Bachelor Degree in Social Work. Two years of work experience in social work or related field preferred.
  • Knowledge of publicly funded health coverage, social programs, and cash assistance program such as Calfresh, GA, SSI, Healthy San Francisco, Medi-Cal, Covered California, Healthy Families, and Healthy Kids, as well as the Affordable Care Act (ACA).
  • Maturity and understanding of human behavior as related to interpersonal relationships.
  • Excellent interpersonal, written and verbal communication skills. Must be detail oriented with excellent time management skills.
  • Must be proficient in computers.
  • Ability to multi-task and work independently.
  • Ability to interview people of all ages and socio-economic level effectively.
  • Knowledge of state, city and community social services agencies.
  • Prior experience and/or training in medical social work preferred.
PHYSICAL:
  • Constant ten key typing
  • Constant fingering (fine dexterity) and handling (grasping, holding)
  • Constant repetitive motion of hands and feet
  • Constant sitting/standing/walking
  • Occasional reaching over shoulders and over head level
  • Rarely lifting/pushing/pulling objects over 10lbs
LANGUAGE:
  • Must be able to fluently speak, read and write English
  • Must be verbally fluent in Chinese (Cantonese or Mandarin)
  • The ability to speak other Chinese dialects is an asset


STATUS:

This is a FLSA Non-exempt position.
This is an OSHA high-risk position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).