Social Worker, Senior

Blue Shield of California; California; Hybrid; USD 82,000 - 123,000; Full time

Job summary

Blue Shield of California is seeking a Senior Social Worker to perform comprehensive psychosocial assessments for members and coordinate intensive interventions addressing social drivers of health within a Medi-Cal population. You will connect members to community resources and support care management with an emphasis on autonomy and ethical practice.

The role involves collaboration with an interdisciplinary team, managing a high-severity caseload, and navigating state and community programs to

Qualifications

• Master’s Degree in Social Work (MSW) or related field from an accredited university required.
• Licensed Clinical Social Worker (LCSW) or equivalent licensure preferred.
• Case Manager Certification (CCM) preferred.
• 3 or more years of experience with Medi-Cal population, medical social work, community clinics, or similar.
• Strong analytical and problem-solving skills.
• Experience conducting psychosocial assessments and care planning for complex clients.
• Proficient in Microsoft Office (Excel, Outlook, Word, PowerPoint).
• Excellent communication skills, both verbal and written.
• Knowledge of health disparities in diverse communities.
• Effective time management and prioritization.

Responsibilities

• Complete member assessments related to social drivers of health and access to healthcare needs.
• Collaborate with providers to support treatment plans and care needs.
• Respect member autonomy and informed decision-making in care planning.
• Assess health behaviors and cultural influences to identify barriers to treatment.
• Manage a caseload of high-severity members and provide supports and linkages.
• Coordinate services with state/community programs when needed.
• Document psychosocial assessments and referrals timely.
• Participate in Interdisciplinary Team Meetings and case consultations.

Education

MSW or related field

LCSW licensure preferred

CCM certification preferred

Tools

Excel

Outlook

Word

PowerPoint

Job description

Your Role

The Social Worker, Senior reports to the Manager, Social Services Management. In this role you will outreach to Blue Shield of California Promise Health Plan members and conduct assessments for social drivers of health needs and provide intensive interventions. The Social Worker, Senior provides linkages to community resources to reduce social barriers, which enable members to receive and manage their medical care as well as remain living stable in the community. This position requires experience working with the Medi-Cal population and knowledge of community resources and related interventions.

Job Description

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.

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.

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.
• 3 or more years of experience working with the Medi-Cal population, medical social work, community clinics, or other home and community-based organizations.
• Strong analytical and problem-solving skills.
• Experience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations.
• Thorough knowledge of services provided by, and eligibility for, applicable state and federal programs, including Long Term Services and Supports (LTSS), in addition to local, community-based organizations.
• Proficient skills with computer programs such as 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.
• 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.

About Us

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in‑person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in‑person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member‑facing roles should work with their manager to determine in‑office time based on business need.
• For employees with medical conditions that may impact their ability to work in‑office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well‑being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Job Info

• Job Schedule : Full time
• Locations : Long Beach, CA, United States
• CA, United States
• El Dorado Hills, CA, United States
• Lodi, CA, United States
• Oakland, CA, United States
• Rancho Cordova, CA, United States
• Redding, CA, United States
• San Diego, CA, United States
• Woodland Hills, CA, United States
• Pay Range for California : $81950.00 to $122870.00
• Pay Range for Bay Area : $92380.00 to $138508.00
• Role can be filled by a candidate requiring sponsorship : No