Integration Specialist – BA

Sea Mar Community Health Centers

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

Posted 10/14/2026full-timeAberdeen • Washington • United StatesJuniorMid-Level💰 $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in providing Health Home services, including care coordination, health promotion, and comprehensive transitional care, while effectively collaborating with interdisciplinary teams and community resources. Proficient in conducting screenings and developing Health Action Plans tailored to patients' complex needs.

Highest-signal resume keywords

Health Home ServicesCare CoordinationCPR CertificationBilingual English/SpanishExperience with Underserved Populations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Functional ScreeningsSelf-Management TechniquesMotivational InterviewingMedical TerminologyBasic Mathematical CalculationsTyping ProficiencyElectronic Health Record ApplicationsCommunity Resource KnowledgeHealth Action PlansDocumentation Skills

Soft Skills

Organizational SkillsCommunication SkillsProfessionalismCultural AwarenessInterpersonal Skills

Tools & Technologies

Microsoft OfficeScheduling Database

Certifications & Qualifications

WA State Health Homes Care Coordinator CertificationBasic Life Support (BLS) CPR Certification

Industry Keywords

Chronic ConditionsSubstance Use DisordersMental IllnessSocial Service Case ManagementCommunity Agencies

About the role

Key responsibilities & impact

Provide Health Home services and related supports for patients with complex medical, behavioral health, and social concerns
Meet patients in homes, community settings, inpatient settings, or clinics
Conduct timely functional, self-management, fall-risk, depression, anxiety, substance-use, and other indicated screenings
Make appropriate referrals to Sea Mar providers, community resources, and emergency services
Use motivational interviewing and other techniques to create Health Action Plans with long- and short-term goals
Follow up regularly to evaluate progress toward Health Action Plan goals
Provide Health Home six core services: health promotion, patient/family support, care coordination, comprehensive transitional care, referrals to social and community resources, and care management
Assist with care transitions from inpatient settings and conduct follow-up in the home
Monitor symptom severity, life circumstances, medication side effects, and self-care abilities
Maintain communication with the patient's 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, collateral contacts, encounters, and outcome measurements daily
Maintain appointment reconciliation in the scheduling database
Carry a caseload of up to 60 patients as assigned by the Care Manager
Provide up to two contacts per month for high-intensity patients, stepping down to telephone contact when stable
Perform other duties as assigned

Requirements

What you’ll need

Ability to work effectively with all persons and groups with respect and awareness of cultural differences
Good organizational and communication skills, professionalism, and appropriate boundaries
No history or evidence of alcohol or other drug misuse for three years prior to employment and no misuse while employed
No disqualifying felony or specified criminal convictions
Valid driver's license, proof of auto insurance, safe vehicle, and acceptable driver's abstract
Ability to work in client homes, community settings, and clinics
Understanding of 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 and maintain it
Bilingual English/Spanish preferred
Reading, writing, and interpersonal communication abilities
Typing proficiency of at least 45 wpm
Demonstrable computer skills and ability to learn electronic health record applications
Working knowledge of Microsoft Office
Ability to perform basic mathematical calculations and interpret graphs
Ability to solve practical problems and interpret written, oral, diagram, or schedule-based instructions
BSW or BA/BS in Human Services, Health Sciences, or a 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 qualify with two years of relatable experience and contractor/state certification approval
Must complete WA State Health Homes Care Coordinator certification training within 60 days of hire when contractually necessary
Will acquire and maintain state Health Homes Care Coordinator certification
Must complete agency and State mandatory trainings
Must obtain Basic Life Support (BLS) CPR within 90 days of hire and maintain current BLS CPR
Experience working with underserved, transient populations
Experience with substance use disorders, chronic mental illness, and chronic medical conditions
Experience with community agencies and strong knowledge of community resources
Must maintain an up-to-date vaccination record
Must complete pre-hire and annual TB test screening
Annual employee health screening required
Annual TB test required
Annual influenza vaccine required, unless an approved medical or religious exemption applies

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