Social Services Representative, Advanced

Blue Shield of CA; Long Beach (CA); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Blue Shield of California seeks a Social Services Representative, Advanced to provide telephonic social services support and resource referrals for members, while coordinating with the Social Services Management Team.

The role emphasizes assessing member needs, coordinating support to improve quality of care, and serving as the first line of telephonic response for the department, with hybrid in-office expectations.

Qualifications

• Must have a High School diploma or GED or 1 year of relevant experience.
• 5 years of relevant experience required.
• Experience with Medi-Cal managed care (Cal MediConnect and Medicare) preferred.
• Bilingual Spanish speaking preferred.
• Bachelor's Degree in Social Work or equivalent preferred.

Responsibilities

• Provide telephonic social services support and resource referrals for Blue Shield Promise members.
• Coordinate with team members and internal departments to support member needs.
• Serve as the first line of telephonic response for incoming Social Services calls.
• Assess social service needs and coordinate support to improve member quality of care.

Skills

Communication skills

Time management

Bilingual Spanish

MS Office

MS Excel

Education

High School diploma or GED

Bachelor's degree preferred

Tools

Excel

Outlook

Word

PowerPoint

Job description

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.