Community Case Manager

Cooley Dickinson Hospital, part of Mass General Brigham, is a not-for-profit organization supporting patient care, research, teaching, and community service. We strive to provide exceptional care and believe high-performing teams drive groundbreaking medical discoveries.

About the role

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. Case Managers partner with individuals living with HIV to manage medical care, social services coordination, disease education, trauma and recovery, positive prevention, sexual health promotion, housing, and substance use risk reduction. This role collaborates with clients, APP Care team members (housing, insurance, recovery coaching, peer advocacy, health navigation), Infectious Disease specialists, PCPs, and other community programs to meet all client needs.

Responsibilities

• Partner with Infectious Disease Specialists and patients to provide culturally responsive HIV/HCV/STI medical/social case management and care/service coordination to ensure patient satisfaction and equitable health outcomes.
• Conduct needs assessments and co-create health and well-being plans with individuals, addressing clinical and psychosocial drivers of health and barriers to access.
• Facilitate communications and 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 and 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 and health education: provide disease management and treatment education to newly diagnosed individuals, 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, inform improvement strategies, and design new services.

Requirements

• High School Diploma or equivalent required; Bachelor’s Degree in Public Health required.
• 1-2 years of 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 of case management, harm reduction, client advocacy, systems navigation, or other related community health work experience.
• 1-2 years of crisis intervention, goal planning, mediating, sexual health promotion, substance use harm reduction, disease management, or medication education experience.
• 1-2 years of experience in community-based and/or clinical care work settings, home visits, and other off-site locations.
• Demonstrated knowledge of local resources, community-based services, and government benefits available to HIV/AIDS individuals and families.
• 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.
• Strong cross-cultural interpersonal, organizational, and oral and written communication skills.

A person with lived experience of populations served is a plus.

Skills

• Strength-based, people-first, harm-reduction, and culturally humble approaches.
• Crisis intervention and goal planning.
• Sexual health promotion and substance use harm reduction.
• Disease management and medication education.
• Cross-cultural interpersonal and 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

Schedule

• Scheduled Weekly Hours: 40
• Work Shift: Day (United States of America)
• Remote Type: Onsite
• Work Location: 2 Conz Street

Pay

Pay Range: $52,312.00 - $76,180.00/Annual

Grade: 6