Medical Case Manager

Boston Health Care for the Homeless Program•Boston, MA

2d•$22 - $36•Onsite

About The Position

Who We Are: Since 1985, BHCHP’s mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each year and ensure that every one of these individuals can receive comprehensive health care, which includes primary care, behavioral health, medical respite, dental, case management, and more. Our staff work in 30+ locations across the city to serve some of our community's most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity, centering trust, mutual respect, hope, and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down physical and systemic barriers that our patients face and provide community-based health care services that are compassionate, dignified, and culturally appropriate. Job Summary: Hours: Full-time, Monday-Friday; 08:30am -5:00pm Union: Yes Union Name: 1199 SEIU Patient Facing: Yes Are you passionate about helping people overcome barriers to care and improve their health and well-being? Join our vibrant, multidisciplinary HIV care team as a Medical Case Manager and make a meaningful difference in the lives of people experiencing homelessness! In this role, you’ll work alongside dedicated medical, behavioral health, and community-based professionals to support people living with HIV and substance use disorder. You’ll help address the social determinants of health that can make it challenging to access and maintain care, while building trusting relationships and connecting patients with the resources and services they need to thrive. As part of a nationally recognized program known for innovative approaches and high-quality health care, you’ll have the opportunity to contribute to a collaborative, team-based community health center environment where your expertise, compassion, and commitment can have a direct and lasting impact. Bring your skills, build meaningful connections, and be part of a team working to make health care more accessible to some of the community’s most vulnerable individuals. This position is funded until the end of February 2028 with the possibility for renewal. If this funding is not renewed, this position will end February 28, 2028.

Requirements

Associate or bachelor’s degree in a related field and/ or equivalent two years relevant human services experience
Experience working with people with substance use disorder is required
Commitment to harm reduction, knowledge of harm reduction strategies and trauma informed approaches is required
Commitment to equitable and culturally appropriate care for a wide range of diverse populations, including (but not limited to) communities of color, LGBTQIA communities, non-English speaking populations, people with histories of incarceration, people with substance use disorders, and people experiencing homelessness
Strong organizational, interpersonal, written, and verbal communication skills; self-directed, motivated, and flexible with the ability to work independently as well as in a team-based setting

Nice To Haves

experience working with people experiencing homelessness, incarceration and/or sexual violence is a plus
lived experiences are welcomed and valued
previous experiences conducting street level outreach with at-risk populations a plus
knowledge of community resources, particularly addiction related resources and supports a plus
Bi-lingual fluency in Spanish is preferred

Responsibilities

Assess new HIV patients for financial, psycho-social, housing, and other needs. Develop comprehensive service care plan with the patient; assess Ryan White eligibility and care plan at intake and every 6 months; attend all required Boston Public Health Commission Ryan White trainings (including on eligibility and program updates)
Work with patients to reduce barriers to full engagement in HIV care and treatment, including via collaboration with legal and housing advocates; assist patients in attending important appointments including medical, benefits, mental health, etc., by arranging transportation and addressing other barriers; accompany patients as needed to important housing, legal and social service appointments; as well as to medical and behavioral health appointments when indicated; track patients who miss appointments and reschedule as necessary, document care appropriately in medical record
Identify, in collaboration with rest of the multidisciplinary team, which patients will benefit from outreach visits at shelters, outside agencies, jail, or their place of residence; participate in HIV care team to exchange information, develop an integrated care plan, etc., in partner notification program, and in multidisciplinary HIV care team meetings to collaborate on integrated care plans and coordinate care
Conduct intensive outreach visits on the streets, drop in spaces, outside agencies, jail, or patients’ homes to connect with patients who are newly diagnosed with HIV and are not yet in care, or who have fallen out of care