Description

POSITION: Medical Case Manager/Housing Case Manager

PURPOSE: The Medical Case Manager/Housing Case Manager works in collaboration with clients and providers to coordinate care, navigate through complex governmental systems, access medical, social, housing, legal and emergency services. The role coordinates and facilitates case conferences with all health care and social service providers. The Medical Case Manager/Housing Case Manager provides HIV/AIDS education and access to ongoing client workshops and seminars. Coordinates the 340 pharmacy program for eligible clients.

CLASSIFICATION: Non-exempt, at-will position.

WORKER CATEGORY: Full-time, benefits eligible.

POSITION REPORTS TO: Director of Ryan White Services and Director of Housing

SPECIFIC RESPONSIBILITIES: (Examples – not an all-inclusive listing)

Medical Case Management Specific Activities

Maintains a caseload and provides case management for Ryan White clients. Monitor the health conditions of individuals served and ensure quality services are provided.
Provide education to clients regarding HIV, medications, labs, and various other medical conditions.
Provide support to clients to increase adherence to appointments and medication regimens; assist clients with scheduling necessary follow-up care in a timely manner.
Monitor lab work and trends.
Stay current with the latest developments, advancements, and trends in the field of nursing and HIV by attending seminars/workshops, reading professional journals. Integrate knowledge gained into current work practices.
May participate in community outreach activities (community fairs, outreach clinics, community collaborations).
Participate in the Agency’s Quality Improvement Management Team, gathering data and examining performance measures.
Executes Department of Public Health service delivery protocol.
Works with the Director of Housing and Ryan White Programs on administrative reporting (DPH and United Way Outcomes, E2CT, Medication Adherence, etc.).
Works collaboratively with other agency staff in developing and ensuring comprehensive services for clients including the Housing Coordinator.
Attends all mandated Department of Public Health trainings.
Works as a team member in providing agency coverage for evening and weekend activities.
Conducts client data collection and entry into E2CT. Ensures all data and files are audit ready.

Housing Case Management Specific Activities

Maintains a caseload and provides case management on a daily basis for Housing clients.
Facilitates client care and services with all service providers.
Executes DHMAS, HUD, DOH, and HOPWA grant standards.
Maintains a current knowledge of housing standards and trends.
Works with Supervisor on administrative reporting (DHMAS, HUD, DOH, HOPWA, etc.).
Works collaboratively with other agency staff in developing and ensuring comprehensive services for clients including the Medical Case Management Team.
Works with clients participating in the AFL Housing Program on finding safe affordable housing for members.
Attends all mandated trainings including Agency-wide and Housing specific.
Works as a team member in providing agency coverage for evening and weekend activities.
Conducts client data collection and entry into DDaP and HMIS; ensures all data and files are audit ready.

General

Works as a team member in providing agency coverage for evening and weekend activities.
Maintains both a valid driver’s license and car insurance.
Preforms other duties as assigned.

Educational Requirements

Master’s Degree in Public Health, Human Services, or related field + 1-2 years’ experience (either lived or relevant professional) or;
Bachelor’s Degree in Public Health, Human Services, or related field + 3-5 years’ experience (either lived or relevant professional).

Minimum Qualifications

A strong commitment and passion for the people we serve at Alliance for Living, including those who use drugs, engage in sex work, people who are houseless, and people living with HIV/AIDS and/or Hepatitis C (HCV).
Extensive knowledge of and operation within the Harm Reduction model and the ability to connect with the people who we serve, including conducting outreach activities.
Both a team-oriented person and the ability to work independently, with minimum supervision; possess the required judgement to properly escalate issues to management.
Computer proficiency (MS Office) and the efficient use of relevant software programs.
Must be able to multi-task, work in a high-volume environment, and cross-train for other assignments/programs.
The ability to work in a culturally intelligent organization to ensure effective delivery of client care and assignment of resources.
Strong written and verbal communication skills.
Must have reliable transportation, valid driver's license and auto insurance to provide community outreach in Norwich, Groton and other surrounding areas.
Bi-lingual ability preferred.

Revised 6/25/25

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