Your Role
The Social Services Representative, Advanced (Coordinator) provides telephonic social services support and resource referrals to Blue Shield Promise members, in addition to administrative support to the Social Service Behavioral Health Care Management Team and Manager / Supervisor.
The Social Services Representative regularly reaches out to members and / or family members with the goal of screening for social service and behavioral health 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 provides 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 behavioral health screening and / or social determinants of health needs assessment with mild to moderate acuity members to address social barriers and care gaps
- 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
- As a mandated reporter, files and follows-up on reports made to the appropriate government agency (, Adult Protective Services, Child Protective Services, etc.)
- 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
- Other duties as assigned
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