The Housing Case Manager provides direct service coordination and support for individuals living with HIV/AIDS, specifically those in the TBRA program. They are responsible for developing individualized service plans, removing barriers to medical care, and coordinating with community providers to ensure housing stability.
Requirements summary
Candidates must hold a Bachelor's degree in Human Services, Psychology, Sociology, or a related Social Work field. One to two years of experience in social work or case management is required, with HIV-related experience preferred.
bachelor degreeCase ManagementPatient AdvocacyDocumentationHIPAA ComplianceCrisis InterventionHarm ReductionInterdisciplinary CollaborationReferral CoordinationIndividualized Service PlansMedical Adherence EducationCommunity Resource MappingAssessment and Intake
Job description
The Housing Case Manager will be responsible for working with individuals who have been enrolled in AID Atlanta’s TBRA program or applying for financial assistance. This case manager will assist individuals with achieving their housing plans during their enrollment period on TBRA. The Housing Case Manager works with members to remove barriers to HIV/AIDS medical care by facilitating a collaborative process that identifies members’ needs, a plan to address those needs, and continuous follow-up to ensure that members obtain the necessary services that help them to maintain adherence to medical care. The Housing Case Manager also coordinates with other service providers through a comprehensive and active referral process to link HIV+ individuals into appropriate services and care.
Essential duties & responsibilities
Provide direct service coordination and support to people living with HIV/AIDS
Provide Case Management services to members on a walk-in, scheduled, and on-call basis
Manage caseload of up to 75 members
Conduct initial comprehensive assessment and intake for eligible members
Collaboratively develop and implement Individualized Service Plans (ISP) for eachmember on caseload, including conducting ISP updates every 6 months for each member
Assess and evaluate member’s initial needs through the EMA screening tool
Educate members about Case Management, and policies (Grievance, HIPPA, Member’sRights and Responsibilities) and other agency program policies to ensure member hasclear expectations of services
Provide regular monthly (or more) contact with members to follow up on treatment plangoals and provide intervention as needed
Advocate and mediate on member’s behalf to decrease or eliminate barriers to case
Educate members about the importance of participating in medical care and ensure thatmembers have full access to primary medical care
Assess and Educate members about the importance of medication and medicaladherence to improve member’s clinical outcome
Assess and educate members about harm reduction, prevention, and other HIV relatedsexual transmitted infections (STIs).
Conduct home and hospital visits, accompanying members to appointments as needed.
Organize and facilitate new member orientation to ensure members have a clearunderstanding of how Case Management can be utilized beneficially
Assess, verify and maintain records of a member’s eligibility for Case Management and various entitlement programs
Document all interactions with or on behalf of a member within 72 hours
Assess, collect, and maintain accurate member information and records in a confidential manner
Complete monthly reporting to ensure accurate programmatic reporting (based on position/site assigned)
Provide active referrals and application assistance and support to members
Educate members about various community resources and programs to increase their knowledge of appropriate referrals
Collaborate with physicians, nurses, and other clinical staff in the development and execution of member’s plan of care
Attend monthly interdisciplinary meetings with medical providers (based on site)
Maintain up-to-date resources of community services
Participate in and volunteer for intra and interdepartmental activities/events across the agency (i.e. AIDS Walk fundraising. AIDS 101 participation, HIV testing and counseling, The Women’s Events, Prevent Blindness, etc. etc.
Communicate regularly with staff about changes, updates, and improvements in service delivery issues or other agency related issues that directly or indirectly impact staff and/or members
Attend agency, local, state, and national meetings, conferences, or workshops as needed or required
Adhere to policies and procedures for AID Atlanta and other off-site programs to ensure quality standards are met
Abide by NASW code of ethics, HIPPA and Atlanta EMA Case Management Standards to ensure a high level of professionalism is maintained
Address members concerns utilizing the Customer Service Standards
Perform routine self-audits and maintain charts to ensure members information and eligibility documents are current
Meet with supervisor at least on a monthly basis to staff member cases, discuss chart audits/observation results, and to discuss performance and progress or stated goals
Attend all required internal and external (for off-sites) meetings
Participate in various trainings held internally and externally ensuring a continuous knowledge base of programs that benefit members.
Be a participant in the hiring and training of new case mangers as requested by manager
Additional functions
Assist Associate Director of Housing in preparation for and during HOPWA Audits
Actively participate as a member of Housing’s multi-disciplinary team
Prepare all mandated reporting as required by supervisor, contract agency and funding agency
Attend monthly individual supervision with Associate Director of Housing
Attend monthly group supervision with Associate Director of Housing
Attend monthly Department of Client Services meeting
Attend monthly required meetings and trainings
Attend monthly all-agency meeting
Other special projects, duties and responsibilities, as needed
Supervisory responsibilites
This employee will not have any supervisor responsibilities.
Qualifications
Education & Work Experience
Bachelor’s Degree in Human Services, Psychology, Sociology or Social Work relate field
1 -2years experience in the field of social work/case management or similar field
Experience in the field of HIV is preferred, but not required
Must pass criminal background check
Qualifications
Join the Team – Make A Difference! Work at AID Atlanta, an affiliate of AHF.
AID Atlanta, Inc. has been saving and transforming lives since its inception in 1982. The agency has grown into one of the Southeast’s leading providers of HIV prevention, care, and support services.
AID Atlanta offers a broad range of services and has grown to be the most comprehensive AIDS service organization in the Southeast. AID Atlanta currently offers HIV/AIDS prevention and care services including PrEP and PEP Prevention Therapy, Community HIV Prevention Programs, Linkage to Care Services, Case Management, Housing Assistance and a state-wide Information Hotline.
The mission of AID Atlanta is to reduce new HIV infections and improve the quality of life of its clients by breaking barriers and building community.
The Core Values of AID Atlanta are
Respect
Compassion
Service
Integrity
If you would like to be a part of fostering empowerment in someone’s life, AID Atlanta is the place for you.
