Case Manager I, Health Systems Navigation

GLIDESan Francisco, CA
46d$31 - $33

About The Position

The Health Systems Navigation (HSN) Case Manager provides comprehensive, client-centered case management with a harm reduction focus to individuals who use substances. This role facilitates seamless access to and retention in a full spectrum of health services, including primary care, behavioral health, substance use treatment, and HIV/HCV/STI prevention and care. Responsibilities include conducting outreach, testing, counseling, and support groups, with a primary focus on re-engaging participants who are newly diagnosed or have fallen out of care. By managing a dedicated caseload and developing individualized care plans that prioritize client-identified goals (such as improving health, securing housing, and accessing social services), the Case Manager supports participants on their journey toward improved health, stability, and self-sufficiency.

Requirements

  • Bachelor’s degree in social work, public health or related field and/or 2+ years providing harm reduction focused case management services to high-risk populations, including knowledge providing prescriptions for suboxone, naltrexone and other medications (and methadone dispensaries) used to support treatment adherence for clients who access HEAT MOUD services.
  • Must have extensive knowledge of the prevention and treatment of HCV, HIV, and STIs.
  • Ability to plan and implement outreach objectives in alignment with HEAT program needs and to promote HEAT program objectives.
  • Ability to establish and maintain effective collaborative relationships across GLIDE programs, city agencies, and community partners across San Francisco and the wider Bay Are
  • Understanding of core principles and practices of harm reduction and successfully engage clients in services and retention through the application of risk reduction counseling, strengths-based counseling techniques and trauma informed systems of care.
  • Knowledge of the Social Determinants of Health (SDOH) and ability to provide culturally competent, culturally sensitive support to a diverse community of clients to help them achieve stability and self-sufficiency.
  • Strong communication skills and trust-building skills are required, including comfort and proficiency with public speaking (i.e. 1:1 interaction with clients, group education, street outreach, etc.)
  • Experience and training in overdose reversals, de-escalation techniques, motivational interviewing, and other relevant skills in managing chaotic environments
  • Proficiency and accuracy in math.
  • Proficient in professional written and verbal communication skills.
  • Competency in the use of a computer, including performing internet research and Microsoft Office Suites applications
  • Reasonable ability to enter data into database systems (i.e. Salesforce, EHR)

Nice To Haves

  • California Rapid HIV/HCV/STI test counselor certification preferred OR willingness to be trained.
  • Current California driver’s license preferred.
  • Certified Phlebotomist preferred.

Responsibilities

  • Conduct client intakes and assessments to identify strengths, needs, and barriers to care.
  • Develop, implement, and update individualized care plans in collaboration with clients to achieve their health, housing, income, and stability goals.
  • Provide ongoing, strengths-based case management and consistent follow-up to a dedicated caseload to support progress toward care plan objectives.
  • Coordinate internal and external services, including medical care, behavioral health, substance use treatment, and housing, and assist clients in obtaining vital documentation and public benefits.
  • Provide confidential HIV/HCV/STI risk reduction counseling, and risk assessment and disclosure sessions using evidence-based approaches to people seeking confidential HIV/HCV/STI testing.
  • Build a positive rapport with clients through the compassionate and non-judgmental application of harm reduction and trauma-informed principles.
  • Serve as the primary point of contact for linkage-to-care referrals for clients who test positive for HIV/HCV/STI, ensuring a warm handoff and supportive follow-up.
  • Facilitate harm reduction and health education support groups on a regular basis.
  • Conduct targeted outreach and engagement in various community settings, including SROs, shelters, and via GLIDE's mobile testing team, to identify and connect with clients across SF.
  • Represent GLIDE at community events, health fairs, and partner meetings to promote program services and collaborative care.
  • Maintain accurate, timely, and confidential client records and case documentation in compliance with HIPAA and program standards.
  • Complete all required data entry in designated databases (e.g., Salesforce) to capture contract deliverables and support reporting.
  • Actively participate in care coordination meetings with internal and external partners to ensure integrated service delivery.
  • Engage in regular supervision, team meetings, and professional development training.
  • Prepare and submit monthly activity and data reports to capture program deliverables.
  • Serve as the primary contact for linkage-to-care referrals for clients testing positive for HIV/HCV/STI, ensuring warm handoffs.
  • Adhere to professional boundaries, ethical standards, and HIPAA protocols.
  • Develop and prepare culturally appropriate outreach and educational materials to promote program services.
  • Support and participate in the full range of HEAT program services and special events.
  • Conduct consistent follow-ups (e.g., office, outreach, phone) to support client goals and document progress.

Benefits

  • This role is covered by the collective bargaining agreement.
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