The purpose of the Care Coordinator is to link and retain out of care HIV positive clients into medical care. These activities will be focused towards initiating, linking and sustaining optimal HIV medical care for clients. This position will work alongside the Lakeland and Intercare HIV care team to identify clients who are out of care, connect with those clients, assess their needs and refer to appropriate internal and external services. Integrates HOPWA and MDHHS prevention and Perinatal prevention objectives into client service plans by regularly addressing housing and prevention needs with each client. Additional responsibilities include, consultation with clinical and hospital staff to protect the privacy of and advocate for health of pregnant women living with HIV, assist MDHHS and MATEC with the coordination of perinatal HIV training for medical and support staff throughout the state, provide support to perinatal treatment.
- Responsible for direct client service contacts and adherence to MDHHS Universal Standards and Standards for Medical and Non-Medical Standards Case Management in Michigan.
- Responsible for adherence assessments and working with clients not in treatment or attending doctor visits. Creates plan to troubleshoot issues for clients not in medical care or not medication-adherent.
- Functions as a member of a cohesive medical team, triaging client needs, participating in program planning and designing and implementing services. Reviews client cases each week and reviews care plans for efficacy.
- Serves as liaison to support coordination of care between infectious disease, obstetric, primary care, and medical management care providers; and work with MDCH Partner Services (PS) as needed.
- Successfully complete and maintain the HIV case management certification process through MDCH.
- Maintain a timely documentation of interactions with person affected by HIV as well as other work-related activities.
- Assist the Support Team in maintaining relationship with other resource providers, including agencies, organizations and professionals willing to provide services for persons affected by HIV/AIDS.
- Refer individuals to support group and other programs of CARES (POP, Tobacco Cessation) based on individual need or interest.
- Bachelor’s degree in nursing, social work, health or related field and one year of case management experience; OR, any combination of education, training and experience which demonstrates the ability to perform the duties of the position.
- Previous social services/healthcare experience
- Can work independently
- Previous experience working with the population a plus.
If you are interested in joining this dynamic team, please send your resume to lmarucco@CARESswm.org.
Full description at the link below.