Case Manager

Thundermist Health Center • Woonsocket, RI

2d • Hybrid

About The Position

We’re looking for a Ryan White Case Manager who is passionate about health equity and committed to supporting individuals living with HIV. In this patient-facing role, you’ll provide non-medical case management services that help patients overcome barriers to care—like housing instability, transportation, food access, and insurance challenges. This isn’t a desk-only job. You’ll build real relationships with patients, help them stay engaged in care, and connect them to critical resources that directly impact their health and well-being.

Requirements

• Bachelor’s degree in a healthcare 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
• Requires reliable transportation

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 Ryan White patients, addressing barriers to care including transportation, housing, food insecurity, behavioral health, medication, insurance, and financial challenges
• 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) and Long-Term Disability — at no cost
• 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, plus 6 paid holidays

What This Job Offers

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