Social Services Representative, Advanced - Long Beach, United States - Blue Shield of California

Blue Shield of California

Verified Company

Long Beach, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Your Role
The Social Services Representative, Advanced will report to the Supervisor, Social Services.

In this role you will provide telephonic social services support and resource referrals for high acuity Blue Shield Promise members, in addition to administrative support to the Social Services Management Team.

The Social Services Representative regularly reaches out to members and/or family members with the goal of assessing social service needs, and coordinating support aimed towards improving member quality of care.

The Social Services Representative coordinates with team members and other internal departments, as well as providingthe first line of telephonic response for incoming calls to the Social Services department.

**Your Work

In this role, you will:

Be responsible for establishing trusting relationships with members while providing personcentered support and services
Conduct telephonic social determinants of health needs assessment with high acuity members to address social barriers and care gaps
As a mandated reporter, files and followsup on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)
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
Provide telephonic support to member and/ or family members following their discharges from hospitals and other medical facilities.
Coordinates 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
Any other assigned duties

**QUALIFICATIONS
Your Knowledge and Experience**- Requires a High School diploma or equivalent

Requires at least 5 years of prior relevant experience
Bachelor's degree preferred
Knowledge of governmental and private organizations, resources in the community, laws, regulations and policies
Experience working with or for a manage health care plan
Effective time management skills and ability to define and act on priorities efficiently
Skill in establishing rapport with members. Ability to plan and execute work effectively. Ability to express ideas clearly and concisely 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

Pay Range:

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

Note:

ABOUT THE TEAM

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price.

We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve.

Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving.

Here at Blue Shield, we strive to make a positive change across our industry and communities - join us

Our Values:

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Honest . We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
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Human . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
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Courageous . We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model:

Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever.

That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

Two ways of working:
Hybrid (our default) and office