The Intensive Care Coordinator plays a crucial role in facilitating and coordinating comprehensive care services for individuals living with HIV/AIDS. This position assesses clients for biopsychosocial care needs; refers, advocates, coordinates, and monitors client needs in order to improve a client’s retention in care, other health and social outcomes, and client quality of life.
Responsibilities:
Client Assessment:
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Conducts initial and ongoing assessments of clients’ medical, social, and emotional needs related to HIV care.
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Identifies barriers to care and develops strategies to address them.
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Upon intake, and once every six months, fully orients each client to the care coordination program objectives, other Tulsa Cares programs and services, and their rights and responsibilities as a client.
Care Planning:
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Generates an individualized care plan based on service need level findings, client priorities, and quality improvement goals through client-centered and motivational interviewing techniques.
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Coaches clients on engagement in healthcare including chronic disease self-management and adherence, mental health and substance abuse, life skills development (literacy, GED completion or vocational rehab, budgeting and financial planning), healthy relationships, and building sense of life purpose.
Medication Adherence:
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Attempts to establish or to retain each client in regular medical care, utilizing appropriate client centered and motivational interviewing techniques, regular follow-ups, and interventions.
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Addresses barriers to medication access and compliance which includes HIV Drug Assistance Program application assistance and maintenance, compassionate care applications, and Tulsa CARES prescription assistance program.
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Facilitates enrollment in qualified health and prescription plans for eligible clients.
Other Functions:
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Facilitates referrals to specialists, support services, and community resources as necessary.
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Provides disease specific education and secondary prevention/harm reduction education.
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Offers emotional support to clients and their support systems.
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Maintains accurate and up-to-date client records, ensuring confidentiality and compliance with regulations.
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Complies with the Care Coordination program and agency policies and procedures as established by Tulsa CARES.
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Supports an environment of health and wellness in accordance with the agency’s philosophy of care.
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Adheres to the Oklahoma State Department of Health Standards of HIV Case Management Care.
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Works as part of an interdisciplinary team to meet the needs of the entire person.
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Actively participates in formal supervision and bimonthly case staffing and monthly case management meetings.
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Performs other duties as assigned.
Requirements & Qualifications:
Studies have shown that women and people of color are less likely to apply for jobs unless they meet every one of the qualifications listed. We are most interested in finding the best candidate for the job, and that candidate may be one from a less traditional background. If you have transferable experience, please tell us about it!
Educational and Licensure Requirements
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Degree from an accredited university in social work, public health, or a related field (BSW, MSW, or LPC is preferred); relevant experience as alternative.
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Must maintain current driver’s license and any relevant licenses or certifications.
Experiential Requirements
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At least 2 years of experience working with those living in poverty, with HIV/AIDS, with other chronic health conditions, and/or with history of mental health or substance abuse.
Knowledge, Skills, & Abilities
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Motivational interviewing and trauma-informed techniques
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Knowledge of database software; Proficient with Microsoft Office Suite (Word, Excel, Outlook).
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Ability to work collaboratively with a variety of health and/or social service organizations.
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Effective written and verbal communication skills.
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Time management and organizational skills to prioritize and address multiple client needs.
Physical Requirements
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The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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While performing the duties of this job, the position requires lifting and/or move up to 20 pounds, kneeling, stooping and/or standing for longer periods of time, bending, turning, reaching, talking, and listening.
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Prolonged periods sitting at a desk and working on a computer.
About Tulsa CARES
Tulsa CARES is the largest and most comprehensive provider of prevention and care programs serving low income individuals living with HIV and Hepatitis C in Oklahoma. We recognize the critical importance of addressing social determinants of health to improve community health and reduce costs, and we specialize in wrap-around, client-tailored care that improves health outcomes and quality of life.
Tulsa CARES seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. Tulsa CARES is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.
Job Type: Full-time
Pay: $45,000.00 - $55,000.00 per year
Benefits:
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401(k) matching
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Dental insurance
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Health insurance
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Health savings account
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Life insurance
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Paid time off
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Parental leave
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Retirement plan
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Vision insurance
People with a criminal record are encouraged to apply
Language:
Ability to Commute:
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Tulsa, OK 74112 (Preferred)
Work Location: In person
