Senior Social Worker: Medi-Cal Care Coordination

Blue Shield of California; Oregon; Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Hybrid work arrangement

Office visits two days per week

Job summary

Blue Shield of California Promise Health Plan seeks a Senior Social Worker to conduct assessments of social drivers of health and provide intensive interventions. You will link members to community resources and support care plans, collaborating with an interdisciplinary team.

Requirements include an MSW and experience with Medi-Cal; LCSW or similar licensure is preferred. Hybrid virtual work with office visits based on business need is offered.

Qualifications

• Master's Degree in Social Work (MSW) or related field from an accredited university required.
• Licensed Clinical Social Worker (LCSW) or equivalent licensure (e.g. LPCC, LMFT, etc.) preferred.
• Case Manager Certification (CCM) preferred.

Responsibilities

• Complete member assessments related to social drivers of health and access to healthcare needs in collaboration with an interdisciplinary case management team.
• Collaborate with providers to support members' treatment plans and care needs.
• Recognize members' right to self-determination as it relates to the ethical principle of autonomy, including the member/family's right to make informed choices that may not align with targeted outcomes as determined by the healthcare team.
• Assess members' health behaviors, cultural influences and members' belief/value systems and evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers.
• Efficiently manage and maintain a caseload of members with high severity and intensity of service needs such as members experiencing chronic homelessness, members experiencing severe and persistent mental illness or polysubstance abuse. Provide support to members, and/or members' support system, along with linkages to appropriate supportive services
• Coordinate services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independently
• Document psychosocial assessment and referrals thoroughly and in a timely manner according to established standards and guidelines
• Actively participate in Interdisciplinary Team Meetings and case consultations

Skills

Medi-Cal experience

Interdisciplinary collaboration

Strong communication

Bilingual Spanish

Education

MSW or related field

LCSW or equivalent licensure

CCM certification preferred

Tools

Microsoft Excel

Outlook

Word

PowerPoint

Job description

Blue Shield of California Promise Health Plan seeks a Senior Social Worker to conduct assessments of social drivers of health and provide intensive interventions. You will link members to community resources and support care plans, collaborating with an interdisciplinary team.

Requirements include an MSW and experience with Medi-Cal; LCSW or similar licensure is preferred. Hybrid virtual work with office visits based on business need is offered.