Social Worker, Senior

About the 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 assess members, link them to appropriate levels of care, connect them with community resources, and coordinate with Blue Shield of California nurses and providers.

Responsibilities

• 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 needs.
• Collaborate with providers to support members' treatment plans and care needs.
• Recognize the client's 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 align with the healthcare team's recommendations.
• Assess members' health behaviors, cultural influences, and belief/value systems, evaluating all information related to current or proposed treatment plans to identify potential barriers and work in accordance with clinical practice guidelines.
• Manage a caseload of members across multiple lines of business.
• Participate in team trainings, case conferences, and continuing education 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.

Requirements

• 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.
• Proficient with Microsoft Excel, Outlook, Word, PowerPoint, and the ability to learn and utilize multiple systems/databases.
• Excellent analytical, communication, written, time management, and organizational skills.

About Us

As of January 2025, Blue Shield of California became a subsidiary of Ascendium. Ascendium is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendium Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming healthcare in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is recognized as a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company, and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company and one of the 50 most community-minded companies in the United States by Points of Light.

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 listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous: We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. 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.

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 an office environment. Based in our physical offices and work from home office/desk work. Activity level: Sedentary, frequency most of the workday.

Pay

• Pay Range for California: $81,950.00 to $122,870.00
• Pay Range for Bay Area: $92,380.00 to $138,508.00

Note: This range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Schedule

Full time