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.
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 Values
Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we''re going to do and by acknowledging and correcting where we fall short.
Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
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 Values
Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we''re going to do and by acknowledging and correcting where we fall short.
Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Numbers & Facts
Location
Woodland Hills, CA
Industry
Insurance
Company Size
2,000 to 2,499 employees
Website
https://www.bcbs.com/about-us/careers
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.
Skills
Analysis Skillsunmatched
Behavioral Healthunmatched
Case Managementunmatched
Clinical Practices/Protocolsunmatched
Communication Skillsunmatched
Health Planunmatched
Health Plan Membershipunmatched
Healthcareunmatched
Microsoft Excelunmatched
Microsoft Outlookunmatched
Microsoft PowerPointunmatched
Microsoft Wordunmatched
Nursingunmatched
Organizational Skillsunmatched
Process Improvementunmatched
Social Workunmatched
Systems Analysisunmatched
Time Managementunmatched
Treatment Planunmatched
Writing Skillsunmatched
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