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Genetic Counselor - Senior (Embedded Precision Neurology or Precision Oncology Lead)

Cook Children's Health Care System
United States, Texas, Fort Worth
801 7th Avenue (Show on map)
Feb 17, 2026

Location:

Medical Center Office Building (901 7th Ave)

Department:

Pediatric Precision Health Program

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

This role serves as the specialty-program genetics lead within precision neurology or precision oncology, owning case triage, evidence standards, and interpretation governance for a defined portfolio of rare neurodevelopmental disorders/epilepsies or pediatric cancers. The senior genetic counselor oversees deep phenotype and family history refinement and drives consistent, defensible ACMG/AMP application-balancing semi-automated evidence pipelines with expert judgment for complex, high-impact cases that require nuanced mechanism-aware interpretation. This role is both clinically and research facing: it sets expectations for rigorous, ongoing integration of clinical and basic science literature (including functional data and evolving disease mechanisms such as gain- vs loss-of-function) and ensures the program remains current on changing classification frameworks and variant-informed care pathways. The senior counselor mentors junior counselors toward independence, partners closely with physicians and scientists to align interpretation with specialty clinic decision-making, and helps translate genetic findings into surveillance, treatment, and trial-readiness strategies where appropriate. They also shape program governance (documentation standards, reporting language, recontact policies) and partner with IT/data teams to improve tooling, auditability, collaboration, and throughput as volumes scale. In addition, the role supports family counseling, engagement with patient advocacy groups, and integration of clinical research workflows for patients evaluated through the specialty clinic.

Education & Experience:

  • Master's degree in genetic counseling or genetics from a program accredited by Accreditation Council for Genetic Counseling (ACGC) required

  • 5 years of Genetic Counseling experience required

Licensure, Registration, and/or Certification:

  • Board Certification American Board of Genetic Counseling required

Knowledge, Skills & Abilities:

  • Demonstrated strong interpersonal skills

  • Comprehensive knowledge of human genetic disorders and defects

  • Excellent communication skills to distill complex information, results and diagnoses

  • Professionalism and emotional stability to handle difficult cases

  • Ability to identify and dissect complex medical problems and make recommendations

About Us:

Cook Children's Health Care System

Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

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