Remote Social Worker – Care Coordination & SDoH Advocate

BCBSM; Eagan (MN); Remote; USD 69,000 - 114,000; Full time

Benefits offered by this job

Health insurance

Life insurance

401k

PTO

Volunteer PTO

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Social Worker to support members and families by addressing gaps in care, coordinating resources, and guiding care plans. The role emphasizes understanding social determinants of health and collaborating with care teams to improve outcomes.

The position is designated as Teleworker, with remote work and potential on-site expectations outlined in the role designation. Requires a licensed social work credential and strong communication skills.

Qualifications

• 3+ years of related case management (clinical) professional experience.
• Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
• Licensed Social Worker (LSW) with no restrictions and 3 years relevant experience.
• LICSW (Licensed Independent Clinical Social Worker) preferred.

Responsibilities

• Responds to member, provider, customer service, company and external partner referrals and/or questions. Provides referrals, education, and support coordination to appropriate community resources and tracks outcomes of those referrals.
• Evaluates members needs in order to address social determinants of health (SDoH) concerns such as transportation/housing/food insecurity and provides assistance to address gaps/barriers. Assist with quality improvement projects and population health initiatives (e.g. Stars and HEDIS).
• Provide caregiver support/resources and referrals. Serves as a resource to members and their families (e.g. navigating services in the health care system, needs assistance with home modifications/care at home, needs information about Medicare/Medicaid).
• Screens members for social/emotional factors such as depression, isolation and anxiety. Gathers accurate and comprehensive information required for benefit and/or member management, as required including the administration of screening tools in areas such as mental health, substance use, or social determinants of health needs. Facilitates referrals to Care Management Programs as appropriate.
• Collaborates and coordinates with team members to facilitate day to day functions and enhance the overall operation of the department.

Skills

Case management

Communication

Bilingual Spanish

Education

Bachelor's degree

Job description

Blue Cross and Blue Shield of Minnesota is seeking a Social Worker to support members and families by addressing gaps in care, coordinating resources, and guiding care plans. The role emphasizes understanding social determinants of health and collaborating with care teams to improve outcomes.

The position is designated as Teleworker, with remote work and potential on-site expectations outlined in the role designation. Requires a licensed social work credential and strong communication skills.