HIV Care Coordinator PRN

FLSA Status

Non-Exempt

Job Role Summary

The HIV Care Coordinator provides a specialized form of non-medical case management to people living with HIV (PLWH). This position works to link, engage and retain PLWH in medical care and HIV services by developing individualized care plans that includes medical, psychosocial, financial, and other supportive services. The primary goal of HIV Care Coordination is to ensure continuity of care, promote self-sufficiency, and to enhance the quality of life of PLWH by facilitating entry and long-term engagement into HIV care.

Essential Functions and Responsibilities

• Enrolls all eligible patients in HIV Care Coordination (non-medical case management).
• Interviews and assesses patient eligibility and need for service at entry and/or return to HIV care.
• Identifies appropriate interventions and makes referrals to address patient concerns.
• Develops, monitors and updates individualized care plans per program guidelines.
• Identifies linguistic needs of patients, documents need as appropriate and assists in scheduling interpretive services.
• Enrolls all eligible patients in programs that support access to HIV medical care and antiretroviral treatment (ART).
• Educates patients regarding the disease process and medications, methods for improving medication adherence, available community resources and other pertinent information.
• Tracks, monitors, and actively manages assigned patient cases to ensure coordination of care, retention of patient, and ensuring a high level of utilization is maintained.
• Adapts activities and interventions to ensure adequate care appropriate to age and development stage of patient.
• Establishes strong relationships and works in collaboration with various providers across the care continuum to ensure that patients are effectively managed and that needs are met.
• Advocates for PLWH as they navigate the HIV service delivery system.
• Participates in clinic huddles and weekly huddles designed to coordinate care.
• Collaborates with all IDC staff to ensure that PLWH are linked to medical care and retained in medical care.
• Responds to Epic Secure Chat in a timely manner.
• Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with program and department standards.
• Attends all trainings and/or meetings as requested.
• Participates in HIV fundraising and advocacy events as determined IDC leadership.

Job Requirements

• Bachelor’s degree in social work, sociology, psychology or other related field with human behavior, social policy, social welfare and/or counseling PREFERRED.
• In lieu of Bachelor’s degree, candidates with an Associate’s degree with two or more years of work experience in the areas of HIV/AIDS care, HIV/AIDS prevention, HIV/AIDS testing, Public Health or Healthcare will be considered.
• Case management experience preferred, but not required.

Knowledge, Skills & Abilities

• Knowledge of the HIV disease process
• Ability to identify, assess and utilize community resources to achieve optimal health outcomes.
• Excellent verbal, written and interpersonal communication skills.
• Knowledge of Microsoft Office.
• Ability to function independently, strong decision making and problem solving skills.
• Ability to work as a member of an interdisciplinary team.