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COMPASS CASE MANAGER

The Institute for Family Health
The Institute for Family Health Salary
Albany, NY Full Time
POSTED ON 4/8/2025
AVAILABLE BEFORE 5/7/2025
Description

SUMMARY:

The COMPASS Case Manager works as part of an interdisciplinary team to support the overall care and treatment of patients living with HIV/AIDS by addressing their case management needs.

RESPONSIBILITIES:

  • Provides concrete case management regarding a variety of needs, including but not limited to: HIV/AIDS Service Administration (HASA), AIDS Drugs Assistance Program (ADAP), insurance enrollment, transportation assistance, coordination with pharmacies, housing referrals, completion of M11Q forms.
  • Assesses patients medication adherence, and provides health education as needed to support good adherence practices
  • Provides appointment reminder and outreach activities as assigned.
  • Provides health promotion, treatment adherence counseling, and risk reduction counseling to assist patients in decreasing barriers to viral load suppression and retention in care.
  • Engages patients to screen for program eligibility, complete needed intakes and reassessments as dictated by program guidelines
  • Completes individualized service plans with service recipients to address case management needs.
  • Participates in case conferences with other team members to ensure patient’s psychosocial needs are being addressed.
  • Completes needed screenings per eHIVQUAL recommendations, such as depression, anxiety and substance use screenings and refers patients as appropriate.
  • Participates in Continuous Quality Improvement (CQI) projects, to support the overall health of patients as well as viral load suppression and retention in care
  • Works closely with medical providers, nursing staff and other Institute employees to coordinate care for patients, through formal and informal case conferences, huddles, warm hand-offs and joint visits

Qualifications

  • Bachelor's Degree in social work or related field required
  • Computer literacy with proficiency in MS Word, Excel, and PowerPoint.
  • Demonstrated organizational, interpersonal, oral and written communication skills and the ability to handle multiple assignments at any time
  • Ability to generate, interpret and analyze data from multiple sources
  • Knowledge of social services, particular for individuals with HIV, in the NYC area
  • Bilingual English/Spanish preferred.

Equal Employment Opportunity/Affirmative Action:

The Institute for Family Health is an Equal Employment Opportunity Employer. This job summary is intended to be brief and may not list all the duties and functions required, however, it does highlight the essential requirements. Nothing outlined in this job summary is to be construed as an express or implied contract of employment.

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