Counselor-Primary Care Advanced Care Manager (2551)

## Description

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