HIV Case Manager - Non-Medical

Essential Duties

• Screen clients for eligibility for Ryan White services and perform necessary data entry into TCT, CPCDMS, and EHR 

• Conduct comprehensive non-medical assessments toidentify clients' needs, strengths, goals, and barriers to accessing HIV care and supportive services. 

• Develop individualized service plans with clients based on their identified needs, preferences, and goals. 

• Provide ongoing case management, advocacy, follow-up, and coordination of services. 

• Assist clientswith navigating the healthcare and social-service systems while promoting self-advocacy and independence. 

• Connect clients toHIV medical care, behavioral health services, substance-use treatment, recovery support, and other community resources. 

• Support clients experiencing substance-use challenges using anonjudgmental, person-centered, and harm-reduction approach. 

• Provide referrals and linkage to substance-use treatment, mental health services, recovery resources, peer support, and otherappropriate services. 

• Assist clients withidentifying and addressing barriers such as transportation, housing instability, food insecurity, financial hardship, insurance coverage, employment, legal concerns, and lack of identification or documentation. 

• Help clients apply for andmaintain eligibility for benefits andassistance programs, including health insurance, medicationassistance, foodassistance, housing resources, and other supportive programs. 

• Coordinate referrals and communicate with partner agencies, healthcare providers, and service organizations, withappropriate client authorization and attention to confidentiality. 

• Follow up with clientsregarding referrals, appointments, service connections, and progress toward established goals. 

• Maintainaccurate,timely, and confidential case-management recordsin accordance with agency, Ryan White, HIPAA, and applicable program requirements. 

• Participate in multidisciplinary team meetings, case conferences, trainings, and community outreach activities asrequired. 

• Maintain current knowledge of HIV services, substance-use resources, behavioral health services, housing programs, benefits, and other community resources. 

• Perform other duties as assigned. 
  
  
  

Qualifications 

• High school diploma or equivalent required; associate or bachelor's degree in social work, human services, public health, behavioral health, psychology, sociology, or a related field preferred. 

• Experience providing case management, care coordination, social services, community outreach, or client support. 

• Experience working with individuals or communities affected by HIV, substance use, homelessness, behavioral health concerns, or other social determinants of health preferred.
   

• Strong communication, organizational, documentation, and problem-solving skills. 
• Ability to work effectively with individuals from diverse cultural, socioeconomic, and personal backgrounds.
   
• Ability to work independently and collaboratively as part of a multidisciplinary team.
  
  

• Experience working within theRyan White HIV/AIDS Program or another HIV service program preferred.

• Knowledge of HIV care, supportive services, and barriers to HIV care preferred

• Experience with substance-use treatment, recovery services, harm reduction, or behavioral health programs preferred.

• Familiarity with local housing, transportation, food, insurance, benefits, andfinancial-assistance resources preferred.

• Experience working with individuals experiencing homelessness or housing instability preferred.
• Bilingual or multilingual skills relevant to the populationserved preferred.

Equal Opportunity Employer

It is the policy of the Montrose Center to recruit, hire, train, compensate,, and promote staff members on the basis of merit and without discrimination on the basis of age, sex, race, national origin, disability, religious preference, marital status, parental status, pregnancy, political affiliation or belief, sexual orientation, or gender identity or expression.