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Social Services Coordinator
2 months ago
The Social Services Coordinator provides telephonic support and resource referrals to Blue Shield of CA members, in addition to administrative support to the Social Service Behavioral Health Care Management Team and Manager/Supervisor. The Coordinator regularly reaches out to members and/or family members with the goal of screening for social service and behavioral health needs, and coordinating support aimed towards improving member quality of care.
Key Responsibilities- Establish trusting relationships with members while providing person-centered support and services
- Conduct telephonic behavioral health screening and/or social determinants of health needs assessment with mild to moderate acuity members to address social barriers and care gaps
- Provide members and/or family members with care coordination, referrals and linkage to Health Plan resources and community agencies
- Document screenings, assessments, referrals and case notes in the electronic case management and tracking systems within the established department guidelines
- As a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)
- Provide telephonic support to member and/or family members following their discharges from hospitals and other medical facilities
- Coordinate services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independently
- Prepare and complete logs and reports as needed for meetings and audits
- High School Diploma required
- Bachelor's Degree in Social Work or equivalent preferred
- Requires broad knowledge of operational systems and practices typically gained through extensive experience and/or education
- Typically, requires minimum of 5 years of experience. May require vocational or technical education in addition to prior work experience
- Minimum two (2) years of experience with Medi-Cal managed care
- Experience working with or for a managed health care plan preferred
- Experience working with behavioral health needs and providers preferred
- Skilled in establishing rapport with members with the ability to plan and execute work effectively preferred
- Ability to express ideas clearly and concisely
- Effective time management skills and ability to define and act on priorities efficiently
- Excellent analytical skills preferred
- Excellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, and participating provider groups
