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

As a Social Worker, you will play an important role to assist our members and their families with gaps in care. This position exists to ensure our members are supported and given appropriate resources depending on their individual needs.

What You’ll Do

• 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.

How You’ll Do It

• 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.
• Maintains a caseload and documents in a plan of care, if appropriate.
• Flexibility to work varied hours.
• Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

• 3+ years of related case management (clinical) professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
• Licensed Social Worker (LSW) with no restrictions and 3 years relevant experience.

Preferred Skills & Experience

• Bilingual Spanish preferred
• LICSW (Licensed Independent Clinical Social Worker)
• Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
• Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
• Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines.

Licensure/Certifications

Required:

Licensed Social Worker (LSW) or Licensed Independent Clinical Social Worker (LICSW) - MN

Role Designation

Remote

Teleworker

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Compensation and Benefits:

Pay Range: $68,900.00 - $91,300.00 - $113,700.00 Annual

Pay 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: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical Requirements