Job description

JOB DESCRIPTION Primary Care Advanced Care Manager

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

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

TO APPLY: Please visit our website at www.wacofamilymedicine.org and fill out an online application located under Careers.

REVIEWED WITH EMPLOYEE:

Employee Supervisor

Date

3/15/2022

Job Type: Full-time

Benefits:

• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

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