Counselor-Primary Care Advanced Care Manager (2551)

Waco Family Medicine; Waco, Temple (TX, TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Waco Family Medicine is hiring for a full-time position focused on care management for patients with medical and behavioral disorders at the West Waco Community Clinic. The ideal candidate holds a Master’s degree in social work or public health or a related field and demonstrates the ability to coordinate care efficiently.

Responsibilities include collaborating with healthcare teams, providing patient education, and supporting care management initiatives. Strong communication skills and experience with chronic care management are essential.

Qualifications

• Master's degree in social work, public health or administration.
• Bachelor's degree with relevant experience can be considered.
• Experience in chronic care management is preferred.

Responsibilities

• Implement and support care management for patients with medical and behavioral disorders.
• Coordinate with primary care teams to address unmet needs for at-risk patients.
• Provide problem-solving assistance to care teams.
• Perform advanced care management tasks including patient education and monitoring registries.
• Communicate with physician and care team members about patient needs.

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)

Education

Master’s degree in social work, public health or administration, or related field

Bachelor’s degree with commensurate experience

Job description

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

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

Qualifications

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

Physical and Mental Requirements

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