HIV Case Manager Lead (On-Site)

Position Summary:

Under the direct supervision of the Coordinated Services Program Supervisor, the Case Manager Lead is responsible for assisting people living with HIV access the continuum of HIV care services. Engage, screen, and refer clients living with mental health, substance abuse or dual disorders in HIV care and treatment services. The Case Manager Lead will be responsible for providing direct services, and coordinating services for clients who are HIV+ and conducting a comprehensive uniform assessment in the following areas: health status, medical care and provider, activities of daily living and mental health status. The Case Manager Lead will be responsible for maintaining comprehensive files for each client and developing a care plan based on client needs. Will represent the HIV department in the community, interacting and networking with community service agencies that provide services to people living with HIV and their families. Cultivates and maintains communication and networking with multi-ethnic organizations in the HIV community. The Case Management Lead will serve as a role model for cultural and linguistic competency. Maintain client confidentiality at all levels.

Essential Functions of the Job:

• Develop excellence in case management services which will enrich and enhance the quality of life, dignity and respect of people living with HIV.
• Oversee day-to-day operations of Case Management program, providing guidance, support and resources when needed.
• Review client files, ensuring all required data is included and entered in ARIES; ensure comprehensive assessments and case plans have accurate documentation of referrals and follow-up.
• Responsible for facilitation of interdisciplinary case conferencing meetings, preparation of agenda, meeting notes and action plan
• Conduct quality improvement and evaluation activities through weekly Case Conferencing meetings, weekly new case reviews, and other activities as directed by supervisor or manager.
• Timely professional maintenance of records and documentation, including progress notes, treatment plans and ongoing evaluation of client progress, consistent with agency expectations and ethical standards.
• Conduct a comprehensive assessment and administer an acuity scale to determine the medical, psychosocial, and social service needs of clients. Assessment is completed at intake and every four months at minimum. Face to face and phone contact with clients is completed at minimum of once monthly.
• Ensure clients are enrolled in medical care and receive appropriate referrals to needed services as established in case plan. Services include, but are not limited to: medication assistance, housing, mental health counseling, substance abuse counseling, legal services, etc.
• Advocate for clients and assist them in the procurement of benefits and services. Provide necessary information, referrals for established care plans and advocate for client needs.
• Maintain a caseload of 30-50 clients (caseload may be below 30 based on acuity level of caseload and with prior approval from Supervisor).

Additional Duties and Responsibilities:

• Responsible for entering all required client related data into ARIES within 2 business days of completing the service.
• Follow all confidentiality and HIPAA guidelines and protocols.
• Increase relationships and communication with other San Ysidro Health programs and locations. Represent San Ysidro Health and HIV Department to other organizations and community groups. Network with other HIV service providers.
• Provide AIDS Drug Assistance Program (ADAP) and Ryan White enrollment to own caseload and ensure all eligible clients complete the ADAP enrollment process.
• Assists the Case Manager Supervisor in monitoring the quality assurance and evaluation process ensuring contract compliance and outcome and process objectives for clients and their families are met.
• Assists in the preparation of monthly narrative and statistical reports covering progress toward meeting outcome and process objectives established in the services contract scope of work.
• Support and participate in activities and group events organized by HIV Department including but not limited to AIDS Walk, San Diego LGBT Pride Parade, Day in the Park and Clients’ Holiday Event.
• Participate in all multi-disciplinary team meetings, staff meetings, and selective staff development trainings, as directed.
• Maintain a flexible schedule to allow for some weekend work as well as emergency coverage of shifts to meet the needs/demands of clients and related activities and events.
• Coordinate and post weekly schedules, advising Program Supervisor with any changes or time-off requests.
• Responsible for punching in daily and being compliant with SYHealth policies and procedures.
• Perform other related activities as required or assigned by the HIV Services Manager and/or Supervisor.

Job Requirements

Experience Required:

• Three (3) years of experience working in human or social services.
• Experience with and sensitivity to LGBT-related cultural concerns.
• Prior case management or counseling experience and experience in group facilitation and educational instruction
• Experience with Motivational Interviewing and the Harm Reduction Movement

Education Required:

• Bachelor’s or Associate’s degree in social work or related field,
• Or a registered nurse, or a certified substance abuse counselor and a minimum of three to four years professional or volunteer experience in the field of HIV or related social services field, and familiarity with HIV services;
• Or High School diploma and a minimum of three years of experience in HIV Case Management. 

Certifications Required:

• Current valid California driver’s license and access to insured vehicle required.

Verbal and Written Skills Required to Perform the Job:

• Bilingual (English/Spanish) required
• Communicate clearly and concisely, both orally and in writing.

Technical Knowledge and Skills Required to Perform the Job:

• Knowledge of health and psychosocial issues concomitant to HIV disease.
• Exercise tact, objectivity, sensitivity, strategy and judgment in dealing with a variety of people with a variety of co-occurring disorders.
• Organize, set priorities and exercise sound independent judgment within areas of responsibility.
• Establish and maintain effective working relationships with professional staff, clients, family members, and the public. 

Equipment Used:

• Computer literacy required, proficiency in MS Office (Word, Excel, Outlook and PowerPoint), projectors, various software including ARIES, and Microsoft office.

Working Conditions and Physical Requirements:

• Physical Activities standing, walking, sitting and lifting 25 lb.
• Role may require travel to other facilities.
• May work evenings and/or weekends based on business need.

Universal Requirements:

Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment.  Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.