May 2025 Application for Care Coordination Specialist with North Sound ACH

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* Applicant Information

First Name

Middle Name/Initial

Last Name

Pronouns

Address

Best Phone Number

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* Which position(s) are applying for?

Position Questions

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* What makes this role, and our organization seem like the right next step for you?

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* What qualifications and characteristics make you qualified for this role?

Resume

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* Resume Upload

Please upload your resume here, be sure to include your background, experience, and qualifications.

PDF, DOC, DOCX, JPG, JPEG file types only.

Choose File

Employment History

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* Employer

Company/Organization

Position/Job Title

Start & End Date of Employment

May we contact this employer?

Direct Manager Name

Manager Phone Number

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* Employer

Company/Organization

Position/Job Title

Start & End Date of Employment

May we contact this employer?

Direct Manager Name

Manager Phone Number

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* Employer

Company/Organization

Position/Job Title

Start & End Date of Employment

Direct Manager Name

Manager Phone Number

May we contact this employer?

Question Title

* Employer

Company/Organization

Position/Job Title

Start & End Date of Employment

Direct Manager Name

Manager Phone Number

May we contact this employer?

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* Employer

Company/Organization

Position/Job Title

Start & End Date of Employment

Direct Manager Name

Manager Phone Number

May we contact this employer?

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* Have you ever been dismissed, discharged, fired or asked to resign from a position?

Yes

If yes, please specify

Education Background

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* High School

School

Location

Years Completed

Degree/Certificate

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* College or University Studies

School

Location

Years Completed

Degree/Certificate

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* Graduate School

School

Location

Years Completed

Degree/Certificate

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* Professional Licenses, Registration, Certifications

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* Other Relevant Training or Courses

Language Skills

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* Which language do you prefer to speak?

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* What additional languages do you speak? Please include all applicable.

Remote Working

The nature of our work and centering on human connection, most staff are based in the North Sound region of Washington State. While most positions work remotely, we require travel to in-person meetings, about five days a month. The following questions are related to remote and hybrid work.

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* Tell us about your experience, if any, working remotely in the past.

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* What types of remote/distributed team tools and software have you used and how did you use them?

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* Are you located in or near the North Sound region of Washington state?

Yes

Accessibility

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* We want to make our hiring process as accessible as possible. Please tell us what would make the process more accessible to you and our team will do our best to address your requests. (optional)

Application Release

The information herein is true and complete. I understand that providing false information on my application or during the hiring process will be grounds for elimination from further consideration or, if employed, for dismissal at any time.
I understand that I will be required to provide documentation showing authorization to work in the United States.
I understand that any offer for employment is at-will, meaning the employee or the company is free to terminate the employment relationship at any time, with or without reason, advance notice, or warning.
I hereby authorize the company or its agents to solicit information regarding my previous employment, educational background and any other similar background information regarding my character, general reputation and performance, and to contact any previous employers and references I have given on my employment application regarding this information.
I authorize all previous employers to furnish the company or its agents with any and all such information as described above that they may have regarding my employment and reason for leaving.
I release all parties and persons connected with any such request for information or the furnishing of such information from all claims, liabilities and damages for any reason arising out of the request.
If currently employed, I release the company from any liability for future references the company may provide regarding my work history.

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* Please type your name as an e-signature verifying that the above information is true and accurate.

Signature

Date