Advanced Social Services Representative

7 days ago


Long Beach, California, United States Blue Shield of California Full time
Job Summary

We are seeking a highly skilled Social Services Coordinator to join our team at Blue Shield of California. As a Social Services Coordinator, you will play a vital role in providing telephonic social services support and resource referrals to our members.

Key Responsibilities
  • Establish Trusting Relationships: Develop and maintain strong relationships with members, providing person-centered support and services to meet their unique needs.
  • Conduct Behavioral Health Screenings: Conduct telephonic behavioral health screenings and social determinants of health needs assessments with members to identify social barriers and care gaps.
  • Provide Care Coordination: Offer members and/or family members care coordination, referrals, and linkage to Health Plan resources and community agencies to ensure seamless care transitions.
  • Document and Track Progress: Document screenings, assessments, referrals, and case notes in electronic case management and tracking systems, adhering to department guidelines.
  • File Reports and Follow-ups: File and follow up on reports made to government agencies, such as Adult Protective Services and Child Protective Services, as needed.
  • Provide Post-Discharge Support: Offer telephonic support to members and/or family members following hospital discharges and other medical facility releases.
  • Coordinate Services: Coordinate services with state and community programs on behalf of members, particularly when they are unable to do so independently.
  • Prepare Reports and Logs: Prepare and complete logs and reports as needed for meetings and audits.
Requirements
  • Education: High School Diploma required; Bachelor's Degree in Social Work or equivalent preferred.
  • Experience: Minimum of 5 years of experience; may require vocational or technical education in addition to prior work experience.
  • Medi-Cal Experience: Minimum two (2) years of experience with Medi-Cal managed care.
  • Managed Care Experience: Experience working with or for a managed health care plan preferred.
  • Behavioral Health Experience: Experience working with behavioral health needs and providers preferred.
  • Communication Skills: Excellent analytical, communication, and time management skills, with the ability to express ideas clearly and concisely.
Pay Range

The pay range for this role is: $20.82 to $29.15 for California.



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