Social Services Professional
1 week ago
About Blue Shield of California
">Blue Shield of California is a leading health plan that serves the state's diverse population. We are committed to delivering high-quality healthcare services and improving the well-being of our members.
">Job Description
">The Social Services Representative, Advanced will play a critical role in providing telephonic social services support and resource referrals for high acuity Blue Shield Promise members. This individual will work closely with the Supervisor, Social Services to provide administrative support to the Social Services Management Team.
">Key Responsibilities
">- ">
- Establish trusting relationships with members while providing person-centered support and services.">
- Conduct telephonic social determinants of health needs assessments with high acuity members to address social barriers and care gaps.">
- As a mandated reporter, file and follow up on reports made to the appropriate government agency.">
- 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 established department guidelines.">
- Provide telephonic support to members 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.">
- Perform any other assigned duties.">
Requirements
">This role requires:
">- ">
- A High School Diploma.">
- A Bachelor's Degree in Social Work or equivalent preferred.">
- Broad knowledge of operational systems and practices typically gained through extensive experience and/or education.">
- A 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, including Cal MediConnect and Medicare, preferred.">
- Knowledge of governmental and private organizations, resources in the community, laws, regulations, and policies, preferred.">
- Experience working with or for a managed healthcare plan, preferred.">
- Effective time management skills and ability to define and act on priorities efficiently, preferred.">
- Skill in establishing rapport with members. Ability to plan and execute work effectively. Ability to express ideas clearly and concisely, preferred.">
- Excellent analytical skills. Excellent communication skills, both orally and in writing, with all levels of BSC Promise staff, members, contracted physicians, and participating provider groups, preferred.">
Salary Range
">The estimated salary for this role is $20,820 to $29,150 per year, based on location and experience.
">About the Role
">This is an exciting opportunity to join Blue Shield of California's Social Services team and make a meaningful difference in the lives of our members.
">Language Code
">{lang_code: en}
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