Social Services Representative, Advanced

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Blue Shield of CA is seeking an Advanced Social Service Representative to deliver telephonic social services support and resource referrals to Promise members, and to provide administrative support to the Social Services Management Team.

The role involves regular outreach to members and family members to assess needs, coordinate support, and improve quality of care, with collaboration across internal departments.

Qualifications

• 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.
• Proficient skills with computer programs, including Microsoft Excel, Outlook, Word, and PowerPoint.
• Excellent communication skills both orally and in writing.
• Bilingual Spanish speaking preferred.

Responsibilities

• Provide telephonic social services support and resource referrals for Promise members.
• Coordinate with the Social Services Management Team and other internal departments.
• Conduct outreach to assess social service needs and coordinate supportive actions.

Skills

Communication skills

Bilingual Spanish

Time management

Education

High School diploma or GED

Bachelor's Degree in Social Work or equivalent preferred

Tools

Microsoft 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.