Integration Specialist (BA) Care Management

Company: Sea Mar Community Health Centers
Location: Washington
Posted on: May 28, 2023

Job Description:

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:Sea Mar is a mandatory COVID-19 and flu vaccine organizationIntegration Specialist (BA) Care Management: Posting #25090Hourly rate: $25.75 per hourPosition Summary:Full-time Integration Specialistpositionavailablefor our Care Management program in Mount Vernon and Oak Harbor, Washington. This position is specifically for someone with a Bachelor's Degree; Master's degree will not be considered. The Integration Specialist provides Health Home services and similar supports for patients whose complex medical, behavioral health and social concerns impede their ability for self-care.The Integration Specialist is a member of the patient-centered inter-disciplinary Care Management team, and has a strong understanding of chronic conditions and how each condition can compound another, leading to poor health outcomes. The Integration Specialist meets with patients in the location of their choice; their homes, in the community, at in-patient settings or in clinics. This individual's work will include timely and effective screenings and appropriate referrals to internal Sea Mar service providers, community-based resources, and emergency services when indicated.Screenings may pertain to functional abilities, daily medical self-management skills, fall risk, depression, anxiety, drug and alcohol use, and other screenings when indicated. Through the use of motivational interviewing and other techniques, the Integration Specialist will work with the patient to create a Health Action Plan which includes long and short term goals with actionable steps that will help the client self-manage their chronic health conditions.As part of ongoing services, the Integration Specialist will follow up with the patient regularly to evaluate progress made towards completing their Health Action Plan goals. As part of the Care Management/ Health Home six core services, the Integration Specialist provides care transition assistance from in-patient settings, follow-up in the home, as well as community based care coordination, health promotion, patient and family support, referral to community and social support services, and comprehensive care management. As part of the clients' interdisciplinary team, the Integration Specialist will provide information and recommendations regarding the client's care.This person must have a valid driver license, proof of auto insurance and a vehicle safe for daily use. Prior to hire this person must submit a driver's abstract demonstrating that they are safe to drive as deemed by Sea Mar's Health and Safety/Compliance Officer. Within the course of employment, a current driver's abstract may be requested.Requirements and/or Responsibilities:

• Must be able to complete job responsibilities in various locations; client's home setting, community setting, or clinic.
• Ability to understand medical terminology pertaining to chronic conditions.
• Ability to work with an interdisciplinary care team including medical providers, nursing staff, care coordinators, behavioral health and support staff.
• Must be able to perform independently and at the same time perform effectively 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 initial probationary period and will maintain CPR certification throughout employment.
• May carry a caseload of 60 patients as assigned by Care Manager.
• Provides up to two contacts per month for high-intensity patients (one face-to-face contact and one telephone contact with patient, providers, or caregivers) with a step down to telephone contact when the patient has demonstrated stability.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Bilingual in English/Spanish preferred but not required.Education and/or Experience:
  • BSW or BA/BS in Human Services, Health Sciences or related field with experience either in social service case management, or care coordination. Will consider other bachelor's level applicants who have similar experience, but only in the circumstance when doing so is approved by contractors and/or state certification entities (ex: HCA approval of WA Health Home Program care coordinator status).
  • When contractually necessary for provision of work for which individual is hired, this person will complete WA State Health Homes Care Coordinator certification training within sixty days of hire.
  • Will acquire and maintain state Health Homes Care Coordinator certification.
  • Must complete agency and State mandatory trainings.
  • This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
  • Experience working with underserved, transient populations.
  • Experience working with substance use disorders, chronic mental illness, and chronic medical conditions.
  • Experience working with community agencies andstrong knowledge of community resources.What We Offer:Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:
    • 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.We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment.How to Apply:To apply for this position complete the Anna-Maria Valentine,Care Manager at Anna-MariaValentine@seamarchc.orgSea Mar is an Equal Opportunity EmployerPosted 05/18/2023External candidates considered after 05/23/2023This position is represented by Office and Professional Employees International Union (OPEIU).Please visit our website to learn more about us at www.seamar.org.You may also apply thru our Career page at

Keywords: Sea Mar Community Health Centers, Washington DC , Integration Specialist (BA) Care Management, Executive , Washington, DC