Integration Specialist – BA

Sea Mar Community Health Centers

. Provide Health Home services and supports to patients with complex medical, behavioral health, and social concerns .

Posted 9/21/2026full-timeAberdeen • Washington • United StatesJuniorMid-Level💰 $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Health Home services, care coordination, and patient support for individuals with complex medical and behavioral health needs. Proficient in conducting screenings, creating Health Action Plans, and collaborating with interdisciplinary teams to enhance patient outcomes.

Highest-signal resume keywords

Health Home ServicesCare CoordinationSubstance Use DisordersCPR CertificationBilingual English/Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Functional ScreeningSelf-Management ScreeningElectronic Health Record ProgramsTyping ProficiencyMedical TerminologyChronic Condition ManagementPatient MonitoringHealth Action PlansDocumentation SkillsCommunity Resource Knowledge

Soft Skills

Effective CommunicationMotivational InterviewingInterdisciplinary Team CollaborationIndependent WorkPatient Engagement

Tools & Technologies

Microsoft OfficeScheduling DatabaseElectronic Health Record Systems

Certifications & Qualifications

Basic Life Support (BLS) CPRWA State Health Homes Care Coordinator Certification

Industry Keywords

Chronic Mental IllnessUnderserved PopulationsCare ManagementTransitional CareCommunity Agencies

About the role

Key responsibilities & impact

Provide Health Home services and supports to patients with complex medical, behavioral health, and social concerns
Meet patients in homes, communities, inpatient settings, and clinics
Conduct functional, self-management, fall-risk, depression, anxiety, substance-use, and other relevant screenings
Review screenings and electronic records and consult other service providers
Create Health Action Plans with long-term goals, short-term goals, and actionable steps
Provide health promotion, patient/family support, care coordination, transitional care, referrals, and comprehensive care management
Monitor patients in person or by phone for symptom, life-circumstance, and medication changes
Use motivational interviewing to support achievement of Health Action Plan goals
Review Health Action Plans and screenings with patients or families every four months
Engage patients and supporters in chronic-condition self-management
Maintain communication with the patient care team and support clients during provider visits
Participate in case reviews and multidisciplinary meetings
Collaborate with Care Management RNs, Master’s-level Integration Specialists, and Care Managers
Consult behavioral health providers and coordinate with community providers and case managers
Document calls, visits, contacts, encounters, and outcome measurements daily
Maintain appointment reconciliation in the scheduling database
Carry a caseload of up to 60 patients as assigned
Provide up to two contacts per month for high-intensity patients
Perform other duties as assigned

Requirements

What you’ll need

BSW or BA/BS in Human Services, Health Sciences or related field with experience in social service case management or care coordination
Other bachelor’s-level applicants with similar experience may be considered with contractor/state certification approval
Applicants without the degree may be considered with two years of relatable experience and contractor/state certification approval
Experience working with underserved, transient populations
Experience with substance use disorders, chronic mental illness, and chronic medical conditions
Experience working with community agencies and strong knowledge of community resources
Ability to understand medical terminology pertaining to chronic conditions
Ability to work with an interdisciplinary care team
Ability to work independently and professionally as an interdisciplinary team member
Must be able/willing to work with translators if not bilingual
Must have or obtain CPR certification within the initial probationary period
Must obtain Basic Life Support (BLS) CPR within 90 days of hire and maintain current certification
Valid driver’s license, proof of auto insurance, safe vehicle, and satisfactory driver’s abstract
Up-to-date vaccination record
Pre-hire and annual TB test screening
Annual employee health screening
Annual influenza vaccine, unless an approved medical or religious exemption applies
Typing proficiency of at least 45 wpm
Demonstrable computer skills and ability to learn applications with minimal supervision
Working knowledge of Microsoft Office
Ability to learn and use electronic health record programs
Ability to read and interpret safety rules, instructions, manuals, and procedures
Ability to write routine reports and correspondence
Ability to communicate effectively with patients, families, and colleagues
No history or evidence of alcohol or other drug misuse for three years before employment and no misuse while employed
No disqualifying felony, assault, abuse, fraud, or harm-related conviction history
Must complete agency and state mandatory trainings
Must complete WA State Health Homes Care Coordinator certification training within 60 days of hire when contractually necessary
Must acquire and maintain state Health Homes Care Coordinator certification
Bilingual English/Spanish preferred

Benefits

Comp & perks

Medical
Dental
Vision
Prescription coverage
Life Insurance
Long Term Disability
EAP (Employee Assistance Program)
Paid-time-off starting at 24 days per year
10 paid Holidays
401(k)/Retirement options
Opportunity for advancement
Culturally diverse work environment