Counselor-Primary Care Advanced Care Manager

WACO FAMILY MEDICINE • Woodway, TX

152d • Onsite

About The Position

REPORTS TO: Director of Primary Care Behavioral Health
EDUCATION & EXPERIENCE: Master’s degree in social work, public health or administration, or any related field, or bachelor’s degree with commensurate experience in these fields
SKILLS:
Basic understanding of chronic care management and primary care systems
Ability to navigate health care systems
General knowledge of chronic health care conditions and needs
Ability to communicate across disciplines
Familiarity with coordinating support services for patients
Excellent written & verbal communications
Bilingual (English/Spanish) ability is preferred and reflected in compensation

Requirements

• Master’s degree in social work, public health or administration, or any related field, or bachelor’s degree with commensurate experience in these fields
• Basic understanding of chronic care management and primary care systems
• Ability to navigate health care systems
• General knowledge of chronic health care conditions and needs
• Ability to communicate across disciplines
• Familiarity with coordinating support services for patients
• Excellent written & verbal communications
• Visual and auditory accuracy
• Shift length - 8 hours
• Indoor setting
• Frequent use of computer
• Long periods of sitting
• Frequent use of telephone
• Continuous repetitive grasping and manipulation of both hands
• Continuous conversational communication
• Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing
• Occasionally carrying, lifting, pushing and pulling of up to 25 lbs.
• Occasionally working in confined, noisy, dusty areas
• Periodic use of personal transportation
• Understand/carry out simple/detailed, oral/written instructions with retention
• Read and interpret detailed specifications

Nice To Haves

• Bilingual (English/Spanish) ability is preferred and reflected in compensation

Responsibilities

• Implement and support care management for patients with medical and behavioral disorders.
• Coordinate with primary care teams, and collaborate with community partners to address unmet needs for at-risk patients.
• Provide problem-solving assistance and decision-support to primary care teams implementing care management.
• Perform advanced care management tasks including pre-visit planning, providing patient education, monitoring registries and supporting patient self-management
• Provide care coordination services to address short- and long-term medical and behavioral health treatment goals
• Communicate with physician and care team members about relevant patient needs or changes
• Other duties as assigned by supervisor

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level