Community Case Manager

Cooley Dickinson Hospital; Northampton (MA); On-site; USD 52,000 - 76,000; Full time

Job summary

Cooley Dickinson Hospital in Northampton, MA, seeks a Community Case Manager to integrate community health with clinical care, addressing social determinants and health equity.

You will partner with HIV patients, coordinate services, provide education, navigate resources, and advocate to improve outcomes. This role requires 1–2 years in case management or related community health work, strong cultural humility, and bilingual Spanish abilities.

Qualifications

• High School Diploma or equivalent; Bachelor's in Public Health required.
• Experience with HIV, unhoused individuals/families, recovery, trauma survivors, and minoritized populations with cultural humility (1–2 years).
• Case management, harm reduction, client advocacy, systems navigation (1–2 years).
• Crisis intervention, goal planning, mediation, substance use harm reduction, disease management, and medication education (1–2 years).
• Community-based and/or clinical care work settings, home visits, or off-site locations (1–2 years).

Responsibilities

• Partner with Infectious Disease Specialists and patients to provide HIV/HCV/STI case management and care coordination.
• Conduct needs assessments and co-create health plans addressing clinical and psychosocial drivers.
• Facilitate communication between clients, families, and providers to support decision-making.
• Navigate local, state, and federal resources to bridge access gaps and improve client experience.
• Provide advocacy and support to empower clients to understand rights and achieve goals.
• Provide ongoing follow-up to ensure continuity of care and health outcomes.
• Conduct outreach and health education for newly diagnosed individuals, partners, families, and community providers.
• Advance health equity by bridging gaps between minoritized communities and health systems.
• Collect data and maintain records to improve outcomes and reduce disparities.

Skills

HIV case management

Harm reduction

Care coordination

Cultural humility

Spanish bilingual

Driver's license

Education

High school diploma or equivalent

Bachelor's degree in Public Health

Job description

United States, Massachusetts, Northampton

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

The Community Case Manager is a key member of A Positive Place's HIV care and prevention team, integrating community health work into clinical care by addressing social determinants of health and health equity. CMs partner with individuals living with HIV in managing medical care, social services coordination, disease education, trauma and recovery, positive prevention, sexual health promotion, housing, and substance use risk reduction. CMs work collaboratively with clients and other APP Care team members (housing, insurance, recovery coaching, peer advocacy, health navigation), as well as Infectious Disease specialists, PCPs, and other community programs to meet all needs. Does this position require Patient Care? Yes

Essential Functions

• Partner with Infectious Disease Specialists and patients to provide culturally responsive HIV/HCV/STI medical/social case management, care/service coordination to ensure patient satisfaction and equitable health outcomes.
• Conduct needs assessments, co-create health and well-being plans with individuals, addressing clinical and psychosocial drivers of health and barriers to access.
• Facilitate communications, act as a liaison between clients, partners, families, and providers to support clear decision-making, solve problems, and meet health goals.
• Navigate complex local, state, and federal resources/programs available to clients, bridging gaps in access to services, and improving client experience.
• Offer Advocacy & Support to amplify the voice of clients, empower individuals to understand their rights, and achieve self-identified goals.
• Provide ongoing follow-up and support to individuals to ensure continuity of care and successful achievement of health and well-being goals.
• Conduct Outreach & Health Education: Provide disease management and treatment education to newly diagnosed, partners, family members, and community providers.
• Advance health equity by bridging gaps between minoritized communities and health systems.
• Collect data and maintain accurate records of interactions and outcomes to improve client outcomes, reduce health disparities in diverse populations, inform improvement strategies, and design new services.

Education

• High School Diploma or Equivalent required and Bachelor's Degree Public Health required
• Can this role accept experience in lieu of a degree? No

Experience

• Experience working with individuals living with HIV, unhoused individuals/families, people in recovery, trauma survivors, members of Black, Latine, GBTQ communities, formerly incarcerated individuals, and/or other historically minoritized populations with cultural humility 1-2 years required
• Case management, harm reduction, client advocacy, systems' navigation or other related community health work experience 1-2 years required
• Crisis intervention, goal planning, mediating, sexual health promotion, substance use harm reduction, disease management, medication education experience 1-2 years required
• Community-based and/or clinical care work settings, home visits, and other off-site locations experience 1-2 years required

Knowledge, Skills and Abilities

• Demonstrated knowledge of local resources, community-based services, and government benefits available to HIV/AIDS individuals and families required.
• Skilled in strength-based, people-first, harm-reduction, culturally humble, and restorative approaches to equitable community health care and prevention.
• Current driver's license, good driving record, and reliable transportation.
• Bilingual (Spanish) required.
• A person with lived experience of populations served is a plus.
• Strong cross-cultural interpersonal, organizational, and oral and written communication skills.

Physical Requirements

• Standing Frequently
• Walking Frequently
• Sitting Occasionally
• Lifting Frequently
• Carrying Frequently
• Pushing Occasionally
• Pulling Occasionally
• Climbing Rarely
• Balancing Frequently
• Stooping Occasionally
• Kneeling Occasionally
• Crouching Occasionally
• Crawling Rarely
• Reaching Frequently
• Gross Manipulation (Handling) Frequently
• Fine Manipulation (Fingering) Frequently
• Feeling Constantly
• Foot Use Rarely
• Vision - Far Constantly
• Vision - Near Constantly
• Talking Constantly
• Hearing Constantly

Remote Type

Onsite

Work Location

2 Conz Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$52,312.00 - $76,180.00/Annual

Grade

6At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

1910 Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.