Community Case Manager

Position Purpose   

The Community Case Manager provides a wide range of intensive, client-centered services to persons with HIV/AIDS in a variety of settings to expedite access to medical care with the goal of HIV viral suppression, to address medical, psychosocial, and other issues that are barriers to care, and to collaborate with other programs within ARCW and with local service providers for the benefit of clients and patients. 

Scope of Responsibilities

The AIDS Resource Center of Wisconsin (ARCW) is one of the nation’s largest providers of HIV prevention, care and treatment services with a budget approaching $130 million and employing over 300 professionals.  Our organization also includes both St. Louis Effort for AIDS (EFA) and Denver’s Rocky Mountain CARES (RMC).

The unique, nationally recognized ARCW HIV Medical Home model of care assures that everyone with HIV has access to medical, dental, mental health and social services and provides the best opportunity for patients to achieve high quality health outcomes.  ARCW also provides aggressive HIV prevention services to gay men, injection drug users and others at the highest risk for HIV infection. 

ARCW operates in the states of WI, CO and MO.  It embraces a Market Culture to increase access to care, enhance quality outcomes and achieve and surpass financial performance expectations and has an aggressive plan to expand into additional states.

Position Responsibilities

Responsibilities include, but are not limited to the following:

•  Provide HIV medical case management services, in compliance with State and agency standards, to persons with HIV infection. This includes:
  

1. Administer the Wisconsin Acuity Index to determine eligibility for case management services;
2. Provide case management services, according to the Wisconsin AIDS/HIV Program HIV Medical Case Management Standards, to persons with HIV infection through:
   - Assessments/Reassessments;
   - Service Planning;
   - Service Plan monitoring;
3. Provide top quality consultation, referral, guidance, and other assistance to HIV-positive individuals, regardless of eligibility for case management, and to the extent required to optimize clients’ success in effectively addressing their needs.
4. Assess benefits and insurance, and if needed, provide assistance to access payor programs.
5. Provide direct access to and administer short-term programs such as STRMU to stabilize a client’s housing circumstances, or make appropriate referral to long-term housing programs.
   

• Maintain appropriate client files and timely documentation of services provided utilizing Provide Enterprise case management software and the housing Service Point database as appropriate.
• Contribute as an active member of the Social Services Department including participating in staff meetings, client staffing, in-service trainings and workshops, department or agency planning activities, assisting in special projects, and providing support, peer mentoring, and training to co-workers.
• Collaborate extensively with ARCW’s Medical, Pharmacy, Dental, and Behavioral Health Clinics personnel to ensure that clients obtain appropriate and timely access to all needed care, and to maximize adherence to medical treatment plans.
• Establish a working relationship with appropriate community resources in the area, including those providing HIV testing and health, mental health, and social services to underserved and target populations.
• Work cooperatively with other ARCW program staff, inform clients of the services available through ARCW and in the community, and link clients to them as appropriate. Access to medical care is underscored, as well as providing or assisting with the provision of support services such as support groups, housing assistance, food pantry, transportation assistance, holiday gifts, and school supplies for kids, volunteer services, and financial assistance.
• Provide education on HIV disease and treatment options to people living with or affected by HIV disease, and to area service providers as appropriate.
• Administer ARCW’s HUD HOPWA housing programs to eligible clients by providing housing information, housing counseling, and supportive services to prevent homelessness, increase housing stability, and health outcomes for clients. Assist with enrollment in housing programs and in processing of rent, mortgage, and utility payments, as needed. 
• Participate, to the extent needed, in Food Pantry operations by providing assistance with food bundling, food distribution, pantry inventory, and other pantry operations.
• Update and maintain a strong working knowledge of HIV/AIDS, treatment options, risk reduction techniques, chronic diseases, mental health issues, insurance and benefits, case management and other related issues through self-study and participation in trainings, workshops, and in-services in consultation with supervisor.
• All other duties as assigned by supervising staff.

Required Qualifications

• Baccalaureate or graduate degree in social work, health care, or a human service discipline from an accredited college or university.
• Ability to establish rapport and maintain effective communication with culturally diverse populations from a wide range of life circumstances and backgrounds.
• Demonstrated effective written and verbal communication skills, including client-centered communication and assessment skills.
• Ability to effectively organize work products and files, keep clear records, and manage time well so as to optimize efficiency and productivity.
• Willingness to travel within the designated territory and willingness to work evenings and weekends as needed.
• Valid Driver’s License, Insurable Driving Record, and access to a reliable insured vehicle.
• Computer skills that include at minimum a working knowledge of Windows and Microsoft Office. 
• Ability to bend, stoop, and on occasion lift up to 30 pounds of food items for distribution to clients through Pantry operations.
  
• An Influenza vaccine is required of all new employees at the time of employment, and is required thereafter on an annual basis.
• A tuberculin/TB skin test is required of all new employees at the time of employment, and may be required thereafter on an annual basis, depending on position.