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Social Services Representative, Intermediate

Company: Blue Shield of California
Location: monterey park
Posted on: May 3, 2021

Job Description:

Job Summary

The Social Services Coordinator provides telephonic social services support and resource referrals to members and administrative support to social service team and Manager/Supervisor. The Social Services Coordinator is regularly reaching out to members and/or family members and coordinating with team members and other internal departments. The Social Services Coordinator also provides the first line of telephonic response for incoming calls to the Social Services department.


* Provides telephonic support to members and/or family members following their discharges from hospitals and other medical facilities. * Acts as a resource to providers or members for commonly utilized social service referrals and community agencies as well as benefit/health plan information. * Acts as a resource to providers or members for commonly utilized social service referrals and community agencies as well as benefit/health plan information. * Documents telephonic assessments and referrals thoroughly and in a timely manner. * Establishes and fosters working relationships with community resource agencies and programs when appropriate. * Coordinates services with State and community programs on behalf of the member, particularly when the member is unable to effectively do so independently. * Prepares logs, reports, as needed for meetings and audits. * Prepares correspondences for communication with members and providers. * Files and makes necessary follow-up on mandated reporting, e.g. Adult Protective Services, Child Protective Services, etc. * Any other assigned duties.

Knowledge and Experience

* Minimum of AA degree. * Bachelors' degree preferred. * 3 years of prior relevant experience. * Knowledge of governmental and private organizations, resources in the community, laws, regulations and policies. * Experience working with or for a manage care plan. * Skill in establishing rapport with members Ability to plan and execute work effectively Ability to express ideas clearly and concisely. * Effective time management skills and ability to define and act on priorities efficiently Excellent analytical skills. * Must have proficient skills with the company computer systems, and the ability to produce reports using programs such as Excel, Word, and Power Point. * Excellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, and participating provider groups.

Additional Information

* About Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us! * 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.

Please click here for further physical requirement detail.

* EEO Footer: 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. * Requisition ID: 21001I2 * Posting Date: Apr 22, 2021 * Schedule: Full-time

Keywords: Blue Shield of California, Monterey Park , Social Services Representative, Intermediate, Other , monterey park, California

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