Intensive Housing and Health Case Manager

AIDS Foundation of Chicago•Chicago, IL

3h•$0 - $50,000•Hybrid

About The Position

The Intensive Housing & Health Case Manager is a vital member of the Supportive Housing Program (SHP) team, delivering comprehensive, individualized support to participants using a client-centered, harm reduction, and trauma-informed approach. This role blends hands-on housing case management with health navigation, helping participants achieve and maintain stability in both their housing and healthcare. This position involves regular home visits, accompanying participants to medical and benefits appointments, and connecting them to community-based resources — all while ensuring full compliance with funder documentation requirements, including the Illinois Department of Human Services (IDHS) and Housing Opportunities for People with AIDS (HOPWA).

Requirements

High school diploma or equivalent
3+ years of case management experience
Valid driver's license and access to a personal vehicle
Comfort navigating Chicago by personal vehicle and meeting participants in their homes and community settings
Knowledge of supportive housing models and systems
Proficiency with case management databases
Strong interpersonal and relationship-building skills
Exceptional attention to detail and follow-through
Ability to work independently and manage a varied caseload

Nice To Haves

Bachelor's degree in social work, public health, or a related field
Experience with crisis prevention, intervention, goal-setting, and resolution techniques

Responsibilities

Conduct monthly home visits to assess and support housing stability
Build trusting relationships with participants using a strengths-based, trauma-informed lens
Provide crisis prevention and intervention using harm reduction philosophies
Facilitate access to Emergency Financial Assistance (EFA) when housing stability is at risk
Serve as a liaison between participants and landlords or property managers
Coordinate move-ins, lease renewals, unit inspections, and eviction prevention efforts
Complete and submit housing leasing paperwork to AFC within required deadlines
Collaborate with the Behavioral Health Specialist to conduct psychosocial assessments within 90 days of intake, where appropriate
Develop individualized service plans in partnership with each participant
Connect participants to relevant services and community resources
Support participants in building life skills and engaging in meaningful daytime activities
Assist participants in enrolling in public benefit programs such as SNAP, SOAR, and employment readiness initiatives
Verify and support participant engagement in medical care
Obtain and track client-level health data, including viral load and medical visit dates
Refer and link participants to services that promote positive health outcomes, treatment adherence, and greater self-sufficiency
Monitor participant follow-through with medical appointments and treatment plans
Coordinate with primary care providers on participant medical care plans
Provide education and support around medication adherence, appointment management, and treatment-related issues
Conduct outreach to medical providers to gather required clinical data
Connect eligible participants with public and private programs including Medicaid, Medicare, Part D, and ADAP
Enter participant intake information into required databases (Caseworky, Provide, etc.) within designated timelines
Record case notes and all required data elements accurately and consistently
Complete reassessments per SHP policies and funder requirements, including IDHS
Process annual lease renewals and complete associated workflows in applicable databases
Maintain thorough and up-to-date participant files in compliance with program standards