Blue Shield of California
Community Health Advocate, Senior - San Diego
Blue Shield of California, California, Missouri, United States, 65018
Community Health Advocate, Senior - San Diego
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Community Health Advocate, Senior - San Diego
role at
Blue Shield of California
The Community Programs team provides high‑touch engagement with members and community‑based organizations to remove barriers to healthcare access, enhance population health initiatives, and advance health equity. The Community Health Advocate will report to the Information Resource Center Manager, Operations.
In this role you will assist members who have complex health and/or social needs, accessing their immediate needs, and addressing barriers to care that include, but are not limited to care coordination, linkages to health plan services, and community resources.
This position will require five days a week onsite at an Information Resource Center in San Diego and may require travel (locally and occasionally to Los Angeles County for training purposes).
Responsibilities
Assess psychosocial and social determinants of health needs for high‑risk members and document assessment results or augment available information in appropriate systems.
Consult with or refer members to licensed staff (social worker, nurse case manager, etc.) as required based on member social, health risk and medical complexity.
Establish relationships and partner with community resources, health plans and providers by participating in community engagement activities with local agencies such as faith‑based organizations, community centers, government agencies, parks, recreation centers and schools.
Assist members with problem‑solving barriers to high‑complexity health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services.
Actively engage, build rapport, establish trusting relationships and facilitate collaborative communication with members and member family support systems.
Identify social determinants of health concerns/gaps, develop and document a plan to address complex social and health disparities.
Document member updates and progress notes in appropriate systems, submit timely reports, and provide recommendations for improved member outcomes tracking.
Identify gaps in community resources and medical systems, make recommendations to close gaps and implement new services or solutions to close identified gaps.
Qualifications
Requires a bachelor's degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health, or a related field, or equivalent experience.
Requires at least 5 years of experience working with people who need assistance with complex health and social issues.
Experience working with community agencies and programs.
Experience with Medi‑Cal eligibility guidelines, application and renewal/redetermination process.
Strong problem‑solving and customer service skills.
Valid California driver’s license and proof of insurance required.
Bilingual speaking, reading and writing strongly desired and preferred.
About the Team As of January 2025, Blue Shield of California became a subsidiary of Ascendiun, a nonprofit corporate entity. Together, these organizations are referred to as the Ascendiun Family of Companies.
Blue Shield of California’s mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We transform health care in a way that genuinely serves our nonprofit mission.
Our Values
Honest – We hold ourselves to the highest ethical and integrity standards.
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.
Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
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Community Health Advocate, Senior - San Diego
role at
Blue Shield of California
The Community Programs team provides high‑touch engagement with members and community‑based organizations to remove barriers to healthcare access, enhance population health initiatives, and advance health equity. The Community Health Advocate will report to the Information Resource Center Manager, Operations.
In this role you will assist members who have complex health and/or social needs, accessing their immediate needs, and addressing barriers to care that include, but are not limited to care coordination, linkages to health plan services, and community resources.
This position will require five days a week onsite at an Information Resource Center in San Diego and may require travel (locally and occasionally to Los Angeles County for training purposes).
Responsibilities
Assess psychosocial and social determinants of health needs for high‑risk members and document assessment results or augment available information in appropriate systems.
Consult with or refer members to licensed staff (social worker, nurse case manager, etc.) as required based on member social, health risk and medical complexity.
Establish relationships and partner with community resources, health plans and providers by participating in community engagement activities with local agencies such as faith‑based organizations, community centers, government agencies, parks, recreation centers and schools.
Assist members with problem‑solving barriers to high‑complexity health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting members at their homes, accompanying members to medical appointments and assisting members with completing forms to access needed services.
Actively engage, build rapport, establish trusting relationships and facilitate collaborative communication with members and member family support systems.
Identify social determinants of health concerns/gaps, develop and document a plan to address complex social and health disparities.
Document member updates and progress notes in appropriate systems, submit timely reports, and provide recommendations for improved member outcomes tracking.
Identify gaps in community resources and medical systems, make recommendations to close gaps and implement new services or solutions to close identified gaps.
Qualifications
Requires a bachelor's degree in Social Work, Psychology, Biology, Public Health, Nursing, Community Health, or a related field, or equivalent experience.
Requires at least 5 years of experience working with people who need assistance with complex health and social issues.
Experience working with community agencies and programs.
Experience with Medi‑Cal eligibility guidelines, application and renewal/redetermination process.
Strong problem‑solving and customer service skills.
Valid California driver’s license and proof of insurance required.
Bilingual speaking, reading and writing strongly desired and preferred.
About the Team As of January 2025, Blue Shield of California became a subsidiary of Ascendiun, a nonprofit corporate entity. Together, these organizations are referred to as the Ascendiun Family of Companies.
Blue Shield of California’s mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We transform health care in a way that genuinely serves our nonprofit mission.
Our Values
Honest – We hold ourselves to the highest ethical and integrity standards.
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.
Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
#J-18808-Ljbffr