HIV Care Navigator & RAP Case Manager

Bedford Stuyvesant Family Health Center; New York (NY); On-site; USD 54,000 - 66,000; Full time

Benefits offered by this job

Medical benefits

401k Retirement Plan with employer 401

Free Life Insurance

Long-Term Disability

Transportation Plan

Generous Paid Vacations and Holidays

Job summary

The Bedford-Stuyvesant Family Health Center (BSFHC) is seeking a RAP Specialist Case Manager to advance HIV/AIDS care coordination and treatment adherence for underserved populations in Brooklyn. You will conduct intake, assessments, and develop service plans addressing medical, psychosocial, and behavioral health needs, while coordinating referrals for housing, food, and transportation.

Grant-funded and contingent on continued funding, the role requires a Bachelor’s degree and two years of

Qualifications

• Bachelor’s degree or equivalent experience in public health, public administration, social work or a related field
• Two (2) years relevant work experience preferred.
• Knowledge of HIPAA rules in maintaining and ensuring patients/clients health information confidential
• Experience conducting outreach to recruit eligible participants
• Ability to work in a fast-paced, high-energy environment
• High level of accountability and initiative; needs to be a self-starter and eager to do team work to support the organization.
• Excellent interpersonal skills must demonstrate professionalism, courteous and respectful attitude in dealing with patients, team members, families and significant others
• Display courtesy, tact and patience with all members of the team members and extended community
• Ensure that all patients receive personalized prompt attention and are treated with receptiveness, dignity and respect

Responsibilities

• Provide coordination and monitoring of HIV/AIDS medical treatment.
• Conduct patient intakes, assessments, reassessment, and development of service plans activities.
• Develop and monitor individualized patient care plans addressing medical, psychosocial, and behavioral health needs.
• Coordinate referrals and follow-up for supportive services such as housing, food assistance, employment, and transportation.
• Maintain ongoing client contact to assess progress, barriers, and promote self-sufficiency.
• Conducts treatment adherence work with patients and follows up with patients’ appointments to include making appointments for patients.
• Educate clients on HIV treatment adherence, viral suppression, and prevention strategies including PrEP and PEP.
• Empower clients to take an active role in their health and treatment decisions.
• Collaborate with healthcare providers to address adherence challenges and identify appropriate interventions.
• Experience entering clients’ data into AIRS System.
• Support the eHIVQUAL data entry attends meeting and/or participates in Webinar when required Provides weekly report of encounters to Data Manager.
• Complete all assessments, service planning and participate in case conferences with both internal and external stakeholders.
• Monitor clients in both Tier 1 and 2 of the RAP Program and work with Peer Navigators to empower clients lost to care.
• Timely update of AIRS with relevant data including indicator ticklers.
• Complete the palliative care screens for patients and other EMR/AIRS ticklers as needed.
• Contribute and participate in case huddles, and case conferences, with appropriate level of documentation.
• Follow through implementing project-specific activities such as enrolling patients in the DRISP HIV Undetectable Program.
• Work to organize the CAB meetings in collaboration with CAB president and other members designated by the CAB.
• Contribute to QI activities and QI meetings to ensure the highest level of patient engagement and viral suppression rates.
• Work with supervisor on any other duties that may be assigned.
• Market the services of the Center to patients and families with the intention to reaching people who are not engaged in care.
• Outreach-based marketing strategies and implementation plans to help the agency engage community residents in Bed-Stuy and Bushwick
• Assist in developing strategies for reaching local populations who are most-at-risk for contracting HIV/AIDS,
• Conduct HIV prevention-based presentations in the community as needed.

Skills

Interpersonal skills

Communication

Bilingual Spanish

Self-starting

Education

Bachelor’s degree in public health / public administration / social work

Two years relevant work experience

Job description

The Bedford-Stuyvesant Family Health Center (BSFHC) is seeking a RAP Specialist Case Manager to advance HIV/AIDS care coordination and treatment adherence for underserved populations in Brooklyn. You will conduct intake, assessments, and develop service plans addressing medical, psychosocial, and behavioral health needs, while coordinating referrals for housing, food, and transportation.

Grant-funded and contingent on continued funding, the role requires a Bachelor’s degree and two years of