Social Services Representative, Advanced

Your Role

The Social Services Representative, Advanced provides telephonic social services support and resource referrals to Blue Shield D-SNP members, in addition to administrative support to the social service team and Manager/Supervisor. The Social Services Representative, Advanced is regularly reaching 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 provides the first line of telephonic response for incoming calls to the Social Work 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 and a broad knowledge of operational systems and practices typically gained through extensive experience and/or education
• Bachelor's Degree in Social Work or equivalent preferred
• Requires minimum of 5 years of experience. May require vocational or technical education in addition to prior work experience
• Minimum 2 years of experience with Medi-Cal managed care including Cal MediConnect and Medicare
• Required experience with managing electronic health records and documenting in clinical case management systems.
• Required excellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, participating provider groups, and community-based organizations.
• Desired knowledge of governmental and private organizations, resources in the community, laws, regulations, and policies
• Experience working with or for a managed health care plan

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.