Social Services Representative, Advanced

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Blue Shield of California is seeking an experienced Social Service Representative, Advanced to support our members via telephonic social services and referrals. You will assess needs, coordinate with internal teams, and provide first-line contact for the Social Services department.

The role emphasizes collaboration, critical thinking, and effective time management, with a hybrid work arrangement. A social work or related background is preferred, with Medi-Cal exposure valued.

Qualifications

• High school diploma or GED required; 1 year of related experience may substitute.
• Minimum 5 years of relevant experience in social services or related field.
• Experience with Medi-Cal managed care including Cal MediConnect and Medicare preferred.
• Proficient with Microsoft Office applications (Excel, Outlook, Word, PowerPoint).
• Bilingual Spanish speaking preferred.

Responsibilities

• Provide telephonic social services support and resource referrals to Blue Shield Promise members.
• Coordinate with the Social Services team and other departments to address member needs.
• Assist with administrative tasks for the Social Services Management Team.

Skills

Excellent communication

Time management

Bilingual Spanish (preferred)

Education

High School diploma or GED

5 years of relevant experience

Bachelor's Degree in Social Work (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.