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Housing Works

Case Manager

Housing Works, New York, New York, us, 10261

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Case Manager

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Housing Works .

Description Compensation Range: $24/hr - $26/hr commensurate with experience.

Benefits We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and text books.

Overview This role is within a Ryan White-Part A program working with individuals who are HIV Positive. This role requires focus on HIV care coordination, viral load suppression, and harm reduction strategies to support participants’ viral load suppression and wellness. The Case Manager will conduct eligibility screenings, enrollment interviews, care plan development, care coordination, referral services, coordination of substance use counseling, health education, and social services navigation to participants with substance use and other chronic health conditions. Other interventions are Healthy Conversations, AOD Counseling and Seeking Safety education as eligibility allows.

The Case Manager will act as an intermediary between care providers and members – serving in numerous roles such as educator, evaluator, service coordinator, community resource researcher, advocate, and more. This role will work with Ryan White and Harm Reduction prevention services for HIV populations.

Responsibilities

Completes initial assessment and reassessments on all assigned clients in a timely manner to develop individualized treatment goals for each client.

Establishes treatment goals and objectives with clients as part of the interdisciplinary team, constantly assessing the client’s ability to succeed and navigate through challenges and difficulties.

Works closely with the participant’s primary care setting and health care providers as needed to optimize positive health outcomes.

Assists clients to navigate the health insurance system, mainly the AIDS Drug Assistance Program (ADAP), Medicaid, and/or other insurance networks.

Engages clients to complete quarterly assessments, quarterly care planning, counseling, outreach, care coordination, case conferences, advocacy, referrals (on‑site and off‑site), and follow‑up discharge planning goals from detox or other inpatient facilities.

In a manner consistent with Harm Reduction principles, provides substance use and sexual risk assessments and discusses individualized risk reduction strategies, including safer injection practices, safer sex practices, overdose prevention, HCV, buprenorphine and other topics relevant to people who use drugs.

Conducts overdose prevention education and Narcan dispensation to program participants as needed.

Facilitates patient‑centered individual and group services, including crisis management, risk reduction, treatment readiness, overdose prevention, HIV health and medication management, and other support and educational groups.

Attends weekly/bi‑weekly supervision meetings as agreed upon by the Program Coordinator.

Ensures timely submission of progress notes, reassessments, service plans, clinical documentation of services, and other program deadlines to avoid interruptions in services with program participants. Documentation must align with the program’s scope and definition of services and is entered into our Electronic Health Record system.

Works collaboratively with team members to provide home outreach and engagement for participants who become disconnected from services.

Conducts home visits, field work and other provider settings as needed to fulfill goals in the care plan.

Secondary Responsibilities

Participates in regular case conferences with medical providers and other stakeholders as appropriate to the care and treatment of the client.

Provides weekly and monthly clients’ progress summaries as needed.

Provides advocacy and psychoeducation to clients and family for entitlements and other community services.

Understands and is sensitive to chronic medical conditions, including HIV, mental health and substance use, diabetes, asthma, hypertension, heart disease and hepatitis diseases.

Consistently exhibits Housing Works core values of Membership, High Performance, Stronger Together, All In, advocacy and customer service.

Performs other duties as requested.

Participates in quality assurance and quality improvement planning project activities.

Participates in monthly staff development meetings and interventions.

Seniority level Entry level

Employment type Full-time

Job function Other

Industries Non-profit Organizations

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