Social Services Representative, Advanced

Blue Shield of CA; Lodi (CA); Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Blue Shield of California is seeking an experienced Social Service Representative, Advanced to provide telephonic social services support and resource referrals to Blue Shield Promise members, while supporting the Social Services Management Team. The role requires 5 years of relevant experience, Medi-Cal managed care knowledge including Cal MediConnect and Medicare, and strong communication skills.

Spanish bilingual is preferred; hybrid virtual work with occasional in-person office presence may

Qualifikationen

• Requires 5 years of relevant experience
• Medi-Cal managed care knowledge including Cal MediConnect and Medicare
• Bachelor's Degree in Social Work or equivalent preferred
• Proficient with Microsoft Excel, Outlook, Word, and PowerPoint
• Excellent written and verbal communication skills
• Knowledge of health disparities in diverse communities
• Bilingual Spanish speaking preferred
• Experience coordinating with internal departments

Aufgaben

• Provide telephonic social services support and resource referrals for members
• Assess social service needs and coordinate support to improve quality of care
• Serve as first point of contact for Social Services department calls
• Coordinate with team members and other internal departments to meet member needs
• Provide administrative support to Social Services Management Team

Jobbeschreibung

Your Role

The Social Service Representative, Advanced will report to the Supervisor, Social Services. In this role you will be providing telephonic social services support and resource referrals for Blue Shield Promise members, in addition to administrative support to the Social Services Management Team. The Social Services Representative, Advanced 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, Advanced, coordinates with team members and other internal departments, as well as providing the first line of telephonic response for incoming calls to the Social Services department.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a High School diploma or GED or 1 year of additional relevant experience in lieu of a diploma
• Requires 5 years of relevant experience
• Demonstrated 2 years of experience with Medi-Cal managed care including Cal MediConnect and Medicare
• Applied broad knowledge of operational systems and practices gained through experience and/or education
• Bachelor's Degree in Social Work or equivalent preferred
• Proficient skills with computer programs, including Microsoft Excel, Outlook, Word, and PowerPoint
• Excellent communication skills both orally and in writing
• Knowledge of health disparities in diverse communities
• Effective time management skills and ability to define and act on priorities amid multiple responsibilities
• Experience working with Medi-Cal populations preferred
• Bilingual Spanish speaking preferred

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.