Case Manager

Thundermist Health • Woonsocket, RI

2d • Hybrid

About The Position

We’re seeking a compassionate and resourceful Case Manager to support individuals living with HIV through patient-centered care coordination and advocacy. In this highly collaborative, patient-facing role, you’ll help patients navigate healthcare systems, overcome barriers to care, and stay connected to the medical and supportive services they need to thrive. You’ll build meaningful relationships with patients while working closely with providers, behavioral health teams, pharmacies, and community organizations. This position supports patients enrolled in the Ryan White HIV/AIDS Program—a federally funded program that helps individuals living with HIV access medical care, medications, and essential support services that improve health outcomes and long-term wellness. If you’re passionate about health equity, care coordination, and helping underserved populations access high-quality care, we’d love to meet you.

Requirements

• Valid Driver’s License & Reliable Transportation
• Bachelor’s degree in a healthcare, social work, public health, human services or related field (or equivalent experience)
• 2+ years of experience in case management, care coordination, or social services
• Experience working in healthcare settings and multidisciplinary teams
• Strong communication skills and comfort with medical terminology
• Commitment to patient-centered care and serving diverse, underserved populations

Nice To Haves

• Experience in an FQHC or ambulatory care setting
• Familiarity with the Ryan White HIV/AIDS Program
• HIV or Behavioral Health Case Manager Certification (or willingness to obtain)
• Bilingual or multilingual skills
• Experience with quality improvement initiatives

Responsibilities

• Provide comprehensive non-medical case management to patients living with HIV, helping identify and address barriers to care such as housing instability, transportation, food insecurity, behavioral health needs, medication access, insurance concerns, and financial challenges
• Build trusted relationships with patients and provide ongoing support to promote engagement in care and treatment adherence.
• Conduct proactive outreach and engagement, including wellness checks, to support patients at risk of falling out of care and assist with re-engagement
• Assist patients with navigating community resources and initiating referrals to external agencies (e.g., housing, behavioral health, financial assistance), including partners such as Agape, ACOS, and APRI
• Facilitate and track referrals to ensure patients attend appointments and receive necessary services
• Assist in clinical quality assurance by reaching out to non-compliant patients to schedule appointments and improve adherence.
• Manage Ryan White program enrollment and re-enrollment (medical & dental), ensuring all required documentation is obtained and maintained
• Enroll and support patients in ADAP, RIFAB, and health insurance programs (as applicable)
• Conduct Health Insurance Enrollment as a Certified Navigator and attend required Navigator meetings
• Complete monthly tracking forms for patients assisted as a Navigator
• Enroll eligible patients in ADAP through Lifia and RIFAB as needed
• Investigate patients’ insurance benefits coverage for specialty medications requiring prior authorization
• Collect invoices or bills from patients in need of financial assistance per Ryan White allowable costs
• Collaborate within the Ryan White program team to ensure coordinated, patient-centered care
• Participate in HIV multidisciplinary team meetings and community partnership meetings to ensure continuity of care
• Coordinate with and schedule delivery of HIV medications with partnering pharmacies/specialty pharmacies
• Work with the clinical quality and reporting teams to ensure accurate lab tracking and obtain outside results as needed
• Assist with Telephone Encounters for the Ryan White team as needed
• Maintain accurate and timely documentation in CAREWare, the electronic health record, and other required systems
• Support reporting, tracking, and compliance requirements for Ryan White program standards
• Ensure documentation meets regulatory and program expectations
• Attend conferences, workshops, state-recipient meetings, HIV Case Manager meetings, CAB events, and relevant trainings
• Assist with Ryan White dental team operations including training, re-enrollment, scheduling, referrals, transportation, and billing support
• Participate in community partner collaborations and organizational initiatives
• Provide additional support and complete special projects as assigned by Ryan White leadership

Benefits

• Health, Dental, and Vision Insurance
• Life Insurance ($75,000)
• Long-Term Disability
• Flexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)
• Retirement Plan with 1:1 employer match up to 4%
• Critical Illness, Accident Insurance, and Hospital Indemnity
• Wellness Reimbursement up to $200/year
• PTO starting at 22 days, increasing with tenure
• 6 paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level