As the Midwest’s premier LGBTQ health and human service organization, Howard Brown Health exists to eliminate the disparities in health care experienced by lesbian, gay, bisexual and transgender people through research, education and the provision of services that promote health and wellness. The Ryan White Part A medical case management program at Howard Brown Health plays an essential role in supporting the health and well-being of clients living with HIV.
The Ryan White Part A Case Manager/ Community Health Worker will be responsible for providing client-centered case management services to individuals living with HIV including, but not limited to, assessment of need, care planning, reassessments, treatment education, adherence counseling, linkages and referrals to public and privates services and programs, information dissemination, financial resource management, advocacy, mental health assessment, care plan follow-up, and discharge planning. The position will also provide health education services and support to HBH older adult patients and community participants with chronic health conditions. Community outreach and brief information and referral services will be required. This position will provide services in clinic, community, and home settings.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Explain the range of Howard Brown Health’s medical and psycho-social services to clients and participants.
- Provide information, education, and emotional support to patients/clients in a compassionate, culturally sensitive, and appropriate manner.
- Maintain an active caseload of 15-20 medical case management clients.
- Maintain, at minimum, monthly contact with every client on assigned caseload.
- Complete an initial assessment with newly referred adult HIV+ individuals requesting medical case management services at Howard Brown Health and/or as referred by the AIDS Foundation of Chicago and conduct subsequent required reassessments every six months.
- Develop initial and continuing care plans with enrolled clients to assist in identifying needs and to provide coordination of clinical and social services.
- Provide education, information, and referrals to clients; locate, identify, and utilize new social services and resources.
- Evaluate all clients’ abilities to understand health plans, provide treatment education and adherence counseling to clients to improve health outcomes, and consult with medical providers regarding assessment and counseling sessions.
- Coordinate medical care with providers, schedule patient follow-up (internal and external) appointments; facilitate appointments with collaborative medical partners for provider recommended follow-up screenings and treatment.
- Consult and collaborate with a multi-disciplinary team including primary care providers, behavioral health staff, nursing, MAs, other members of client care teams, partner services staff, and other Howard Brown staff involved in client/patient care.
- Assess financial need of clients and facilitate patient financial support, including help with applications, especially as it relates to public benefits programs, health insurance (Medicaid/ACA Marketplace), ADAP, and prescription assistance programs.
- Provide referrals on an ongoing basis of relevant services, including SNAP, ADAP, housing, vision, DHS, SSA, unemployment, insurance, and prescription assistance.
- Develop and maintain required records, reports, and statistical data, including maintenance of caseload, activity tracking sheet, progress notes, resource receipts, and tracking health maintenance of each client.
- Follow appropriate standards of care and support clients with tracking and completing necessary health and wellness screenings including, but not limited to, standard HIV labs, TB testing, vaccines, dental exams, STI testing, and sexual and reproductive health screenings.
- Conduct outreach for and facilitate Chronic Disease Self-Management Education (CDSME) workshops and related health promotion programming.
- Prepare workshop curriculum, session supplies, and handouts.
- Develop and facilitate community building and health education support groups.
- Assist with arranging for patient transportation as needed.
- Attend and participate in all group consultation/case conferences, social service department meetings and training, team meetings, individual supervision, and any other required staff meetings and training.
- Assist in the supervision and training of volunteers and interns who provide services to clients as needed.
- Maintain the highest level of client confidentiality, in person and in practice.
- Travel among agency locations based on patient need.
- Other duties as assigned.
- A Master’s/Bachelor’s degree in a human services field; or a registered nurse; or a Master’s/Bachelor’s degree in non-human services field and 2 years case management experience; or a 2-year Associate’s degree with 4 years case management experience
- Working knowledge of the health-related disparities faced by the LGBTQ population.
- Demonstrated interpersonal skills and ability to engage and work effectively with a diverse staff and patient population required.
- Ability to travel to all HBH clinic sites and community host sites.
- Writes in a concise and organized manner and uses correct grammar.
- Bilingual-English/Spanish, strongly preferred
- Knowledge and experience navigating health and medication coverage systems, highly regarded
- Prior knowledge and experience working with patients living with HIV and with diverse communities
- Experience working in a community based medical/social services setting
- Knowledge and experience with working with clients living with HIV/AIDS within diverse communities
- Experience working with a high volume of clients in a fast-paced environment
(Physical demands that must be met in order to successfully complete the essential functions of the job)
- Requires ability to speak audibly and listen actively.
- Requires ability to use computers, telephones and other office equipment.
- Requires ability to sit for extended periods of time.
- May require occasional bending and lifting up to 25 pounds.
- Requires frequent travel among Howard Brown Health locations and community-based sites based on patient need.
Job Type: Full-time
- Case Management: 2 years (Required)
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Bi weekly or Twice monthly