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Social Worker, Senior

Blue Cross and Blue Shield Association

  • El Dorado Hills, CA
  • 4 days ago

    Highlights

    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. 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.

    Numbers & Facts

    LocationEl Dorado Hills, CA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    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.

    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

    • 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.

    Your Work

    In this role, you will:

    • 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

    Your Work

    In this role, you will:

    • 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

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

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