Integration Specialist (BA)

Position Summary :

Full-time Integration Specialist position available for the Care Management department in Federal Way, WA. The Integration Specialist provides Health Home services and similar support for patients whose complex medical, behavioral health and social concerns impede their ability for self-care. Must have knowledge of Community Outreach or Case Management. Knowledge of Community Resources preferred. Willingness to commute to meet with clients at various settings including clients home, clinic and / or hospital. This position will also travel to the Care Management department in White Center.

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. Must have experience working in the community with underserved populations required.

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.

Education and / or Experience :

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 more, receive an excellent benefit package of :

We also offer 401(k) / Retirement options and an exciting opportunity to work in a culturally diverse environment.