Genetic Counselor — Senior (Embedded Precision Neurology or Precision Oncology Lead)

Cook Children's Health Care SystemFort Worth, TX
14dOnsite

About The Position

This role serves as the specialty-program genetics lead within precision neurology or precision oncology, owning case triage, evidence standards, and interpretation governance for a defined portfolio of rare neurodevelopmental disorders/epilepsies or pediatric cancers. The senior genetic counselor oversees deep phenotype and family history refinement and drives consistent, defensible ACMG/AMP application—balancing semi-automated evidence pipelines with expert judgment for complex, high-impact cases that require nuanced mechanism-aware interpretation. This role is both clinically and research facing: it sets expectations for rigorous, ongoing integration of clinical and basic science literature (including functional data and evolving disease mechanisms such as gain- vs loss-of-function) and ensures the program remains current on changing classification frameworks and variant-informed care pathways. The senior counselor mentors junior counselors toward independence, partners closely with physicians and scientists to align interpretation with specialty clinic decision-making, and helps translate genetic findings into surveillance, treatment, and trial-readiness strategies where appropriate. They also shape program governance (documentation standards, reporting language, recontact policies) and partner with IT/data teams to improve tooling, auditability, collaboration, and throughput as volumes scale. In addition, the role supports family counseling, engagement with patient advocacy groups, and integration of clinical research workflows for patients evaluated through the specialty clinic.

Requirements

  • Master’s degree in genetic counseling or genetics from a program accredited by Accreditation Council for Genetic Counseling (ACGC) required
  • 5 years of Genetic Counseling experience required
  • Board Certification American Board of Genetic Counseling required
  • Demonstrated strong interpersonal skills
  • Comprehensive knowledge of human genetic disorders and defects
  • Excellent communication skills to distill complex information, results and diagnoses
  • Professionalism and emotional stability to handle difficult cases
  • Ability to identify and dissect complex medical problems and make recommendations

Responsibilities

  • Case triage
  • Evidence standards
  • Interpretation governance
  • Oversees deep phenotype and family history refinement
  • Drives consistent, defensible ACMG/AMP application
  • Balances semi-automated evidence pipelines with expert judgment
  • Sets expectations for rigorous, ongoing integration of clinical and basic science literature
  • Ensures the program remains current on changing classification frameworks and variant-informed care pathways
  • Mentors junior counselors toward independence
  • Partners closely with physicians and scientists to align interpretation with specialty clinic decision-making
  • Helps translate genetic findings into surveillance, treatment, and trial-readiness strategies where appropriate
  • Shapes program governance (documentation standards, reporting language, recontact policies)
  • Partners with IT/data teams to improve tooling, auditability, collaboration, and throughput as volumes scale
  • Supports family counseling
  • Engagement with patient advocacy groups
  • Integration of clinical research workflows for patients evaluated through the specialty clinic
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