Case Management​/Assessment Specialist II​/III – Spanish Speaking Promotional

Make a Meaningful Impact in Integrated Behavioral Health Care!

San Mateo County Health is seeking dedicated and experienced Case Management/Assessment Specialist II/III candidate to join Behavioral Health and Recovery Services (BHRS) on the Primary Care Interface Team
. This role plays a vital part in connecting clients to timely, culturally responsive behavioral health support within a primary care setting.

There is one full-time position available, with primary work locations that may include sites in North County and the Coastside. This Monday–Friday role may offer a hybrid schedule, with approximately four on–site days per week to support clinic operations. Work location and on-site expectations may shift over time based on program needs.

The Primary Care Interface Team strengthens whole-person care by integrating behavioral health services into San Mateo Medical Center (SMMC) Primary Care clinics across the County. The team works collaboratively with primary care providers, therapists, psychiatrists, nurses, and multidisciplinary staff to ensure that clients receive accessible, coordinated, trauma-informed support when they need it most.

This position plays a critical role in helping clients navigate behavioral health services, reducing barriers to care, and promoting recovery, wellness, and long-term stability.

Supported by clinical and program supervisors, while exercising substantial independent professional judgment, you will:

• Conduct comprehensive assessments and evaluations and determine appropriate referrals and treatment recommendations.
• Provide direct service using motivational and solution-focused counseling, supporting clients on issues including harm reduction, relapse prevention, stress management, co-occurring conditions, health, and self-care.
• Deliver psychoeducation on substance use risks to parents, adolescents, and adults.
• Facilitate treatment groups for clients across stages of readiness—from pre-contemplation to action.
• Conduct home or community follow-up for high-risk clients.
• Coordinate care with therapists, psychiatrists, primary care providers, and other partners.
• Participate in clinical consultation and case conferencing for complex cases.
• Document and bill for services using AVATAR and Epic, ensuring accurate, timely communication with primary care teams.
• Attend bi‑weekly and monthly Primary Care Interface Team clinical meetings.

As a member of a multidisciplinary team embedded in San Mateo Medical Center Primary Care clinics, this position help strengthen access to behavioral health services and support seamless client care.

Case Management/Assessment Specialist II

Salary: $41.75 – $52.20/hour

This journey-level role performs the full range of duties with independence and clinical judgment. Some assignments may require certification as a Certified Alcohol and Drug Counselor. The II level is flexibly staffed, with the opportunity to advance to Specialist III after five years of experience, certification as an Alcohol and Drug Counselor-Addiction Specialist and proven proficiency.

Case Management/Assessment Specialist III

Salary: $49.23 – $61.53/hour

As the advanced specialist level, this role manages complex cases, provides subject-matter leadership, and may offer guidance on workflows or projects. Certification as an Alcohol and Drug Counselor–Addiction Specialist is required.

The ideal candidate is a compassionate, adaptable, and skilled behavioral health professional who thrives in collaborative primary care settings, exercises strong independent judgment, holds valid certification as a Certified Alcohol and Drug Counselor–Certified Addiction Specialist through a Department of Health Services–approved agency, and is bilingual in Spanish.

• Required proficiency in Spanish and English.
• Current certification as a Certified Alcohol and Drug Counselor–Certified Addiction Specialist.
• Strong assessment and case management skills, including determining levels of care, providing direct service and developing treatment recommendations.
• Experience providing direct care to adults and/or youth with behavioral health…