Social Worker
Social Worker
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Job Description
About Blue Cross and Blue Shield of Minnesota
At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.
The Impact You Will Have
The social worker position is an important role to assist our members and their families with gaps in care. The position exists to ensure our members are supported and given appropriate resources depending on their individual needs.
Your Responsibilities
- Responds to member provider customer service company and external partner referrals and/or questions. Provides referrals education and support coordination to appropriate community resources and tracks outcomes of those referrals.
- Evaluates members needs in order to address social determinants of health (SDoH) concerns such as transportation/housing/food insecurity and provides assistance to address gaps/barriers. Assist with quality improvement projects and population health initiatives (e.g. Stars and HEDIS).
- Provide caregiver support/resources and referrals. Serves as a resource to members and their families (e.g. navigating services in the health care system needs assistance with home modifications/care at home needs information about Medicare/Medicaid).
- Screens members for social/emotional factors such as depression isolation and anxiety. Gathers accurate and comprehensive information required for benefit and/or member management as required including the administration of screening tools in areas such as mental health substance use or social determinants of health needs. Facilitates referrals to Care Management Programs as appropriate.
- Collaborates and coordinates with team members to facilitate day to day functions and enhance the overall operation of the department.
- Serves as a subject matter expert to team members and BCBSMN providing expertise and experiences to enhance care models processes and procedures to more effectively address the holistic health and wellbeing needs of members and families.
- Attends weekly ICT (Interdisciplinary Care Team) rounds and provides feedback if appropriate.
- Maintains a caseload and documents in a plan of care if appropriate.
Required Skills and Experience
- Licensed Social Worker (LSW) with no restrictions and 3 years relevant experience.
- 1 year of county or hospital social work experience.
- Medicare and/or Public Programs experience.
- Flexibility to work varied hours.
- Demonstrates strong empathy and relationship building skills.
- Strong acumen in communication skills including listening speaking and writing skills.
- Strong computer application skills.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
- Medical call center or managed care experience.
- Process and project management experience.
- Licensed Independent Clinical Social Worker (LICSW)
Role Designation
TeleworkerRole designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.
Compensation and Benefits
$67200.00 - $89100.00 - $111000.00 AnnualPay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
Medical dental and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
To discover more about what we have to offer please review our benefits page.
Equal Employment Opportunity Statement
At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:
Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Employment Type
Full-Time
