Job Description

Your Role

The Care Management Clinical Social Work team helps Blue Shield members with complex social determinants of health by conducting psychosocial assessments, developing care plans, and providing intensive interventions. The Care Management Social Worker will report to the Manager and/or Senior Manager of Care Management Clinical Social Work. In this role you will be assessing members and linking to appropriate levels of care, linking to community resources, and coordinating with BSC nurses as well as BSC providers.

Responsibilities

Your Work

In this role, you will:

• Collaborate with case managers and other team members to complete member assessments related to social and resource needs to support member access to services
• Collaborate with service coordination staff and act as liaison to ensure timely and accurate response to customer need
• Collaborate with providers to support members treatment plan and care needs
• Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team
• Assess members health behaviors, cultural influences and clients belief/value system and evaluates all information related to current/proposed treatment plan and in and work in accordance with clinical practice guidelines to identify potential barriers
• Manage a caseload of members across multiple lines of business
• Participate in team trainings, case conferences and CEU opportunities as needed
• Actively participate in team meetings, and the continued development of the Social Work Department
• Complete all necessary training for your role and engage in continued process improvement initiatives as appropriate

Your Knowledge and Experience

• MS or MA in social work, or other related behavioral health field
• Current CA LCSW, LMFT, LPCC, or other related clinical licensure
• 3 years of experience with behavioral health and substance use treatment
• Experience conducting thorough assessments, developing care plans, and providing necessary interventions identified
• Proficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databases
• Excellent analytical, communication skills, written skills, time management, and organizational skills

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.