Established: 9/2013
FLSA: Exempt
EEO: 2



Under general direction, to plan, organize and manage the specialized primary care services and operations in school-based health centers and small-clinic environments within the County’s Clackamas Health Centers Division; to provide back up and support to the Primary Care manager for the general management of the Primary Care staff and operations; and to do other work as required.


The Clackamas Health Centers Division within the Department of Health, Housing and Human Services is a Federally Qualified Health Center that offers primary care, dental services and behavioral healthcare at multiple primary care, behavioral health, and school-based health centers.

The Assistant Primary Care Manager is responsible for providing general direction and coordination of primary care programs delivering direct client services in the school-based health centers and small-clinic environments.  The incumbent monitors and evaluates health care needs and standards within legal guidelines, and provides on-site supervision for the smaller health centers, including Gladstone, primary care within specialty Behavioral Health clinics, school-based clinics and the Sandy Health and Wellness centers. The incumbent reports to the Primary Care Manager. 

The Assistant Primary Care Manager differs from the Primary Care Manager who directly manages the larger health clinics, provides oversight to the smaller and school-based clinics and reports to the FQHC Director.  It also differs from the Behavioral Health Manager who manages the direct provision of behavioral health services on a countywide basis.  It also differs from the Public Health Services Manager who oversees public health field programs and services, not primary care services.


Duties may include but are not limited to the following:

1. Provides leadership, program management, and supervision of primary care program, operations, and staff for Clackamas Health Centers’ primary care operations at school-based health centers, specialty Behavioral Health clinics, Gladstone Center and the Sandy Health and Wellness Center.

2. Determines program design, staff assignments and allocation of resources; hires and directs supervisory, professional, paraprofessional and support personnel; prepares performance evaluations; recommends and administers progressive discipline; conducts and/or facilitates staff training and development programs; promotes cooperative team efforts among staff and other County divisions and departments; motivates employees to provide quality services to clients and staff; fosters and supports a diverse workforce and environment; encourages creativity and teamwork among staff.

3. Works in partnership with Primary Care Manager to improve Primary Care operation results across the division. Manages, directs, organizes and evaluates primary care operations for the Clackamas Health Centers Division in accordance with federal, state and local regulations, governing health care operating and financing practices; ensures productivity standards are met and revenue generation occurs; ensures quality standards are met throughout the service delivery system; participates in long and short range strategic and financial planning activities related to health care operations; reviews, researches and analyzes legislative issues and proposed laws, regulations and rules for potential impact to funding and operations and recommends strategies to respond.
4. Serves as a backup for the Primary care Manager and may serve as liaison to federal,  state, and other agencies as related to the operations of the school- based health centers and the FQHC; maintains relationships with school districts; ensures performance standards identified in grant applications are developed, monitored and met; ensures grant compliance, ensures special reporting requirements are monitored and met and monitors fiscal performance; maintains relationship and liaisons with Public Health programs including Reproductive Health, Communicable Disease, Immunization, and Incident Response Team; provides oversight of Continuing Operations Plan (COOP) for Health Centers.

5. Consults with Primary Care Manager and other members of the management team on matters of policy, program formulation, budget development and grant submission; develops, recommends and/or evaluates new and revised rules, policies, procedures, variance requests, goals and priorities to respond to division needs, and to improve the effectiveness of primary care operations; represents Health Centers Division at department, County, School District and other meetings.

6. Provides backup to the Primary Care Manager in supporting the Community Health Council (Board); participates and organizes information for the meetings as directed and ensures information is prepared and provided to the Board in a timely manner.

7. Provides highly responsible and complex management support and consultation to, or as requested by, the Primary Care Manager.


Thorough knowledge of: Principles and practices of primary care clinics, managed care, care coordination, case management, collaboration and integration; s; available community resources; rules, laws, regulations and ethics governing the medical management of patients; grant and budget preparation and administration; project management, analysis and evaluation; strategic planning; Federal and commercial insurance billing and payment systems.

Working knowledge of: State of Oregon Health Division Administrative rules and Oregon Revised Statutes related to division services; principles and practices of supervision, training and personnel management; participative management theories; research methodologies, techniques of data collection and statistical analysis and applies data based decision making techniques; office equipment, including personal computers and software programs.

Skill to: Communicate effectively, both orally and in writing with diverse groups of people; organize, direct, train, evaluate and discipline supervisory, professional, technical and administrative staff; produce measurable outcomes using applicable data and participatory management strategies within budgetary limits and time constraints; plan and organize personnel, equipment and budgetary resources to achieve program goals, objectives, quality improvement, productivity and effectiveness; interpret and apply relevant laws, ordinances, rules, regulations, policies and procedures; analyze problems and identify alternative solutions; establish and maintain effective working relationships as a member of a professional health care team; keep accurate and timely records; operate computer software and other office equipment.


Must successfully pass a criminal history check which may include national or state fingerprint records check.

Driving is required for County business on a regular basis or to accomplish work.  Incumbents must possess a valid driver's license, and possess and maintain an acceptable driving record throughout the course of employment.


Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.