Medical Case Manager – HIV

ASHwell • Austin, TX

2d • $50,000 - $52,000

About The Position

The HIV Medical Case Manager will provide comprehensive, trauma-informed medical and social service coordination for ASHwell’s patients and referred clients living with HIV. Their work measurably improves health outcomes through intensive medical case management, health systems navigation, and integration of social services within our sexual health and wellness framework. The HIV Case Manager collaborates with an internal multidisciplinary team and external partners to ensure comprehensive, culturally competent care that aligns with the organization’s mission and values. They help coordinate care, provide navigation for social support services, educate on health management, and act as advocates in clinical, social service and public system settings. They maintain consistent and reliable communication to build a relationship of trust. The HIV Case Manager enters, tracks and reports data regularly and manages their time effectively.

Requirements

• 2+ years' experience serving marginalized communities OR lived experience
• 2+ years' experience in medical case management
• 1+ years' experience working or volunteering in a nonprofit setting
• Excellent written and verbal communication skills
• Prior experience with medical and/or case management software and platforms
• Demonstrated understanding of trauma informed approach
• Knowledge of local resource landscape
• Prior experience & ability to research and identify available community resources
• Knowledge of adjustment to medical diagnosis and chronic disease
• Prior experience with psychosocial diagnosis
• Experience conducting Motivational Interviewing (MI)
• Experience in solution focused interventions
• Experience with crisis intervention
• Proficiency in Microsoft Office Suite (Teams, Word, Excel, OneDrive, PowerPoint).
• Lives in Austin, TX or within the greater Austin Metro Area or within 50 miles of ASHwell headquarters at 3800 Red River
• In depth understanding of gender and sexual orientation spectrums
• High comfort level working in a pro-pleasure, pro-sex, pro-kink and pro-queer environment
• Baseline understanding of Harm Reduction and need for HIV de-stigmatization
• Alignment with ASHwell values of race and gender justice, sexual and reproductive health equity

Nice To Haves

• Licensed Master Social Worker (LMSW) in the State of Texas OR Associate Degree in Social Work or other social service/science
• + 2 years case management experience
• Prior experience with Ryan White Part B/C/D, medical case management standards
• Bilingual in English and Spanish
• LMSW specific course work
• Mental Health First Aid certified
• 2+ years prior experience related to sexual health
• Proficiency with case management software solutions
• Proficiency working with electronic medical record platforms
• Experience working or volunteering in HIV/STI prevention, care, or education or other community health programs
• Experience in a sex-positive / sexual health setting

Responsibilities

• Provide 1:1 culturally competent, trauma-informed, and client-centered support
• Conduct biopsychosocial assessments to identify client needs, strengths, and goals
• Develop individualized care plans focused on medical stability, social stability and mental health and wellness.
• Establish milestones for care plans and prepare tokens and acts of recognition for stability and improvement throughout care plan
• Coordinate and monitor care plans in collaboration with clients and providers.
• Conduct outreach and follow-up to engage clients who are lost to care or newly diagnosed.
• Perform on site assessment and registration with ASHwell on Wheels (mobile medical unit) as needed via program partnerships
• Schedule / reschedule in-office and home visit patient-client appointments in a timely manner
• Educate clients on HIV health management, treatment adherence, and their rights within the healthcare system
• Use motivational interviewing and evidence-based practices to support behavior change and long-term health engagement
• Support health literacy, self-advocacy, and independence among clients
• Facilitate access to medical treatment for comorbidities related to HIV not provided by ASHwell
• Review and understand lab results via integrated care team case rounds to develop best possible care plan
• Partner with clinical and program staff to resolve care access barriers and increase retention in care rates
• Utilize a trauma-informed and harm-reduction approach to support clients navigating chronic illness and co-occurring conditions
• Advocate for clients in clinical, social service, and public systems, promoting self-determination and dignity
• Maintain accurate, timely, and compliant electronic records per HIPAA, organizational policy, and funding requirements via Apricot, Provide and Athena.
• Participate in audits, reporting, and monitoring to ensure service quality to care coordination models (e.g., Ryan White Part B/C/D, medical case management standards).
• Deliver required reports to Assistant Director in a timely manner
• Maintain updated, verified documentation across work scope
• Participate in and prepare for interdisciplinary case round meetings
• Review and respond to voicemails daily with a consistent 24 hour or less response time
• Participate in all required staff meetings and retreats
• Maintain up-to-date calendar and work plan
• Utilize organization wide systems and protocols for all organizational business
• Identify and request professional development opportunities related to Social Work and HIV preventative services
• Participates in at least one outreach event monthly

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree