Case Manager HIV

About the role

Southwest Care Center (SCC) is a non‑profit FQHC‑LAL that has delivered medical, behavioral healthcare, and community outreach services in Santa Fe and Albuquerque, NM for over 25 years. The Center is seeking a Case Manager to join its team serving patients at both clinic locations. Located in Santa Fe and Albuquerque, the area offers 310 days of sunshine, a mild dry climate with four distinct seasons, abundant outdoor recreation (hiking, rock‑climbing, rafting, motorized sports, skiing), diverse and inclusive communities, the internationally known Albuquerque Balloon Fiesta, an international airport, convenient commuting between the cities (≈50 min) and via the NM rail system, great schools, family‑friendly neighborhoods, and celebrated New Mexican cuisine.

Responsibilities

• Conduct intake interviews and perform psychosocial assessments to identify psychosocial, economic, or social risk factors.
• Determine eligibility and provide referral services for patients and families to ascertain support service needs related to adherence to medical treatment plans.
• Assess eligibility for and maintain enrollment in health insurance plans, patient assistance programs, or other services that improve retention in care.
• Coordinate assistance by making appropriate referrals, following up with patients and agencies, and monitoring patient progress through the service delivery system.
• Provide consultation regarding financial planning, budget development, and housing plans.
• Link patients to a broad range of services including medical care, behavioral health, substance abuse treatment, financial assistance, housing, food, financial entitlement, clothing, transportation, vocational training, and harm reduction services.
• Monitor and accurately document patient progress through individualized service planning in the Electronic Medical Record (EMR), assessing level of functioning, treatment adherence, and service needs.
• Within scope of practice, provide therapeutic interventions by ensuring adherence to intervention plans, educating and supporting patients, monitoring medication adherence, follow‑up appointments, and utilization of enabling and supportive services.
• Perform required prior authorizations, collaborating with clinical staff and providers for necessary supporting documentation.
• Maintain working knowledge of applicable grants, program funds, and regulatory requirements (e.g., FQHC, PCMH); ensure patient counseling, guidance, and documentation meet these requirements.
• Develop and maintain strong relationships with community resources to stay current on available services.
• Assist with Outreach HIV/HCV rapid testing and counseling programs following certification.

Qualifications and Skills

• Strong desire to make a difference in the community and a team‑oriented mindset.
• Comfortable working with and leading a team of medical support professionals.
• Ability to mentor others and participate in quality and process improvement initiatives.
• Skills in psychosocial assessment, eligibility determination, referral coordination, financial planning consultation, and EMR documentation.
• Experience providing therapeutic interventions, medication adherence support, and prior authorization processing.
• Knowledge of grants, regulatory requirements (FQHC, PCMH), and community resource networking.
• Certification for HIV/HCV rapid testing and counseling (or willingness to obtain).

Schedule

Regular full‑time position with a scheduled weekly workload of 40 hours.