What are the responsibilities and job description for the Social Services Coordinator position at Blue Cross and Blue Shield of Alabama?
Overview
Department Overview
The Health and Clinical Engagement division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is one of the most critical issues Blue Cross and Blue Shield of Alabama faces in fulfilling its responsibility to be a superior administrator of health care benefits. Our goal is to provide the highest quality benefits and services while we effectively control health care costs.
Primary Responsibilities
This position is accountable for identifying and addressing social determinants that impact a member’s health. The incumbent will have through knowledge of available community resources including social services programs.
In addition, the incumbent will provide support in the Health and Clinical Engagement area by identifying referrals for complex case management based on established guidelines. The incumbent will coordinate and maximize member’s contract benefits by evaluating social needs, integrating community/social service programs and assisting in the development of alternative plans of treatment that provide quality care.
Summary Of Qualifications
The work schedule for this position will be full-time remote. Business areas reserve the right to require associates to return to the office as needed, based on performance or other business considerations. A remote work schedule is subject to amendment or termination at any time by the Company.
Terms and Agreements
By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.
We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association
Department Overview
The Health and Clinical Engagement division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is one of the most critical issues Blue Cross and Blue Shield of Alabama faces in fulfilling its responsibility to be a superior administrator of health care benefits. Our goal is to provide the highest quality benefits and services while we effectively control health care costs.
Primary Responsibilities
This position is accountable for identifying and addressing social determinants that impact a member’s health. The incumbent will have through knowledge of available community resources including social services programs.
In addition, the incumbent will provide support in the Health and Clinical Engagement area by identifying referrals for complex case management based on established guidelines. The incumbent will coordinate and maximize member’s contract benefits by evaluating social needs, integrating community/social service programs and assisting in the development of alternative plans of treatment that provide quality care.
Summary Of Qualifications
- Bachelor’s or higher level Degree in Social Work
- Current licensure by State of Alabama as a Social Worker
- Three years of clinical experience as a licensed Social Worker, including a thorough understanding of medical/social services
- Knowledgeable of benefit, claims payment, billing guidelines, and laws and contracts that govern health insurance programs
- Effective verbal and written communication skills with providers, subscribers and group representatives
- Experience analyzing clinical situations and making informed decisions in an autonomous setting
- Willingness to travel on-site if necessary to assess the patient or facilities, which may involve overnight travel on occasion
- Master of Social Work (MSW) is strongly preferred
- Licensed Clinical Social Worker is preferred
- Experience in a position requiring independent decision-making skills is preferred
- Willingness to work a flexible schedule in order to provide telephone coverage is preferred
- Willingness to travel up to 10% of the time a needed is preferred
The work schedule for this position will be full-time remote. Business areas reserve the right to require associates to return to the office as needed, based on performance or other business considerations. A remote work schedule is subject to amendment or termination at any time by the Company.
Terms and Agreements
By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.
We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association