Job Description

The Housing Case Manager will be responsible for working with individuals who have been enrolled in AID Atlanta’s TBRA program or applying for financial assistance. This case manager will assist individuals with achieving their housing plans during their enrollment period on TBRA.
The Housing Case Manager works with members to remove barriers to HIV/AIDS medical care by facilitating a collaborative process that identifies members’ needs, a plan to address those needs, and continuous follow-up to ensure that members obtain the necessary services that help them to maintain adherence to medical care. The Housing Case Manager also coordinates with other service providers through a comprehensive and active referral process to link HIV+ individuals into appropriate services and care.

ESSENTIAL DUTIES & RESPONSIBILITIES
•Provide direct service coordination and support to people living with HIV/AIDS
•Provide Case Management services to members on a walk-in, scheduled, and on-call basis
•Manage caseload of up to 75 members
•Conduct initial comprehensive assessment and intake for eligible members
•Collaboratively develop and implement Individualized Service Plans (ISP) for eachmember on caseload, including conducting ISP updates every 6 months for each member
•Assess and evaluate member’s initial needs through the EMA screening tool
•Educate members about Case Management, and policies (Grievance, HIPPA, Member’sRights and Responsibilities) and other agency program policies to ensure member hasclear expectations of services
•Provide regular monthly (or more) contact with members to follow up on treatment plangoals and provide intervention as needed
•Advocate and mediate on member’s behalf to decrease or eliminate barriers to case
•Educate members about the importance of participating in medical care and ensure thatmembers have full access to primary medical care
•Assess and Educate members about the importance of medication and medicaladherence to improve member’s clinical outcome
•Assess and educate members about harm reduction, prevention, and other HIV relatedsexual transmitted infections (STIs).
•Conduct home and hospital visits, accompanying members to appointments as needed.
•Organize and facilitate new member orientation to ensure members have a clearunderstanding of how Case Management can be utilized beneficially
• Assess, verify and maintain records of a member’s eligibility for Case Management and various entitlement programs
• Document all interactions with or on behalf of a member within 72 hours
• Assess, collect, and maintain accurate member information and records in a confidential manner
• Complete monthly reporting to ensure accurate programmatic reporting (based on position/site assigned)
• Provide active referrals and application assistance and support to members
• Educate members about various community resources and programs to increase their knowledge of appropriate referrals
• Collaborate with physicians, nurses, and other clinical staff in the development and execution of member’s plan of care
• Attend monthly interdisciplinary meetings with medical providers (based on site)
• Maintain up-to-date resources of community services
• Participate in and volunteer for intra and interdepartmental activities/events across the agency (i.e. AIDS Walk fundraising. AIDS 101 participation, HIV testing and counseling, The Women’s Events, Prevent Blindness, etc. etc.
• Communicate regularly with staff about changes, updates, and improvements in service delivery issues or other agency related issues that directly or indirectly impact staff and/or members
• Attend agency, local, state, and national meetings, conferences, or workshops as needed or required
• Adhere to policies and procedures for AID Atlanta and other off-site programs to ensure quality standards are met
• Abide by NASW code of ethics, HIPPA and Atlanta EMA Case Management Standards to ensure a high level of professionalism is maintained
• Address members concerns utilizing the Customer Service Standards
• Perform routine self-audits and maintain charts to ensure members information and eligibility documents are current
• Meet with supervisor at least on a monthly basis to staff member cases, discuss chart audits/observation results, and to discuss performance and progress or stated goals
• Attend all required internal and external (for off-sites) meetings
• Participate in various trainings held internally and externally ensuring a continuous knowledge base of programs that benefit members.
• Be a participant in the hiring and training of new case mangers as requested by manager

ADDITIONAL FUNCTIONS
• Assist Associate Director of Housing in preparation for and during HOPWA Audits
• Actively participate as a member of Housing’s multi-disciplinary team
• Prepare all mandated reporting as required by supervisor, contract agency and funding agency
• Attend monthly individual supervision with Associate Director of Housing
• Attend monthly group supervision with Associate Director of Housing
• Attend monthly Department of Client Services meeting
• Attend monthly required meetings and trainings
• Attend monthly all-agency meeting
• Other special projects, duties and responsibilities, as needed

SUPERVISORY RESPONSIBILITES
• This employee will not have any supervisor responsibilities.

QUALIFICATIONS:
Education & Work Experience
• Bachelor’s Degree in Human Services, Psychology, Sociology or Social Work relate field
• 1 -2years experience in the field of social work/case management or similar field
• Experience in the field of HIV is preferred, but not required
• Must pass criminal background check

Qualifications

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What's Right