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Perinatal HIV Case Manager

The Perinatal HIV Case Manager provides comprehensive case management services to a caseload of approximately 35–40 HIV-positive clients, including pregnant individuals, in both clinical and office-based settings. This role is integral to efforts aimed at reducing vertical transmission of HIV by coordinating care, supporting treatment adherence, and ensuring timely access to prenatal and HIV-related services. The Case Manager works collaboratively with HIV and OB providers, as well as other program staff, to deliver high-quality, client-centered care as part of the Direct Services team.

Essential functions include serving as the medical case manager for individuals, pregnant women, and families impacted by HIV/AIDS, providing comprehensive support across clinical and community settings. Conduct needs assessments and develop, implement, and monitor individualized Service Care Plans tailored to each client's circumstances. Connect clients to appropriate medical, mental health, housing, immigration, legal, substance use, and social support services. Coordinate and monitor service delivery, assisting clients in advocating for entitlements and public benefits, including prescription and utility assistance programs. Provide on-site case management in clinics and hospitals as needed to support continuity of care. Advocate proactively for clients, utilizing all available resources to address barriers and support access to care. May be responsible for creating and maintaining resource lists relevant to perinatal and HIV-related services. Attend a minimum of five perinatal medical appointments, one postpartum visit, and two HIV specialist appointments per client to support engagement in care. Conduct home visits twice annually to assess living conditions and provide additional support. Assist clients with transportation coordination to ensure access to essential services. Collaborate with external service providers and agencies, including the Department of Human Services (DHS), to ensure integrated care. Offer education, information, and referrals to clients and their support networks to promote informed decision-making. Represent the agency at community events, including outreach efforts such as baby showers, to raise awareness and connect with potential clients. Maintain up-to-date knowledge of resources, benefits, and entitlements to effectively refer clients and advocate for their needs. Achieve a minimum of 450 units of service per month (measured in 15-minute increments), meeting productivity expectations. Complete written documentation of all client interactions within two business days, in accordance with agency standards. Ability to manage a caseload of 35–40 clients, meeting service unit goals and documentation deadlines. Maintain and document minimum required contact with each client on the caseload, ensuring compliance with agency standards. Must demonstrate readiness to learn supervisory skills through mentoring, coaching, or professional development (may provide direct supervision to an assigned Assistant Case Manager, supporting their development and service delivery). Maintain confidentiality and HIPAA compliance in all aspects of service delivery. Apply a strengths-based approach in all client interactions, promoting empowerment and resilience. Participate in weekly individual supervision meetings to review cases and receive guidance. Participate in staff and supervisory meetings at Action Wellness to support team coordination and professional development. Engage in monthly group supervision meetings to support collaboration and case review. Attend required agency meetings, including Direct Service, In-Service, and General Staff sessions. Complete the Division of HIV Health Core Training Series, and attend case reviews, Health Federation, Access Matters, and other collaborative meetings as required.

Education and experience required include a bachelor's degree in Social Work, Nursing, Public Health, Human Services, or a related field. A master's degree preferred, especially in Social Work (MSW), Counseling, or Maternal and Child Health. Minimum of one (1) year of experience providing direct services to individuals and families affected by HIV/AIDS, with a focus on maternal and perinatal health. Experience in medical case management, including service planning, care coordination, and advocacy in clinical and community settings. Prior experience working with pregnant individuals, families, and navigating insurance, Medicaid, and medical assistance programs is a plus. Bilingual fluency (especially in Spanish/English or French/English) is highly desirable to support diverse client populations.

Action Wellness is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employee(s) with disabilities to perform the essential functions of their job, absent undue hardship.

Based out of our 3600 Market office, hybrid remote after 90 days. Annual pay range: $44,000-49,000. No phone calls please.