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.

Your Knowledge and Experience

• Requires a High School diploma or equivalent
• Bachelor's degree preferred
• Requires at least 5 or more years of prior relevant experience
• Requires at least 2 years of prior relevant experience with a Medi-Cal Managed Health Plan.
• Medi-Cal (Medicaid)/Medicare Experience
• 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.
• Required effective time management skills and ability to define and act on priorities efficiently
• 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
• Bilingual in Spanish required

Pay Range
The pay range for this role is: $ 20.82 to $ 29.15 for California.

Note

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

#LI-AG3