Job Abstract

Your Role

The Social Services Representative, Advanced will report to the Supervisor, Social Services. In this role you will provide telephonic social services support and resource referrals for high acuity Blue Shield Promise members, in addition to administrative support to the Social Services Management Team. The Social Services Representative regularly reaches 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 coordinates with team members and other internal departments, as well as providing the first line of telephonic response for incoming calls to the Social Services department.

Your Work

In this role, you will:

• Be responsible for establishing trusting relationships with members while providing person-centered support and services
• Conduct telephonic social determinants of health needs assessment with high acuity members to address social barriers and care gaps
• As a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)
• Provide members and/or family members with care coordination, referrals and linkage to Health Plan resources and community agencies
• Document screenings, assessments, referrals and case notes in the electronic case management and tracking systems within the established department guidelines
• Provide telephonic support to member and/ or family members following their discharges from hospitals and other medical facilities.
• Coordinates services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independently
• Prepare and complete logs and reports as needed for meetings and audits
• Any other assigned duties