Counselor-Primary Care Advanced Care Manager

Job Details

Level: Experienced

Job Location:

West Waco Community Clinic - Waco, TX 76712

Position Type:
Full Time

Education Level: 4 Year Degree

Travel Percentage:
None

Job Shift: Day

Job Category:
Health Care

Reports To:

Director of Primary Care Behavioral Health

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

PRIMARY DUTIES:

• 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:

• Other duties as assigned by supervisor

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