Ryan White North Non-Medical Case Manager - Bilingual

About the role

The Ryan White North Non-Medical Case Manager is responsible for delivering high-quality, client-centered support services to individuals enrolled in Ryan White and HOPWA programs. This position plays a critical role in ensuring clients are effectively connected to medical care, insurance coverage, and essential supportive services while maintaining compliance with all applicable federal, state, and organizational guidelines.

Responsibilities

• Conduct eligibility screenings for Ryan White Part B and related programs.
• Collect and review client information to determine eligibility for insurance coverage and establish payer of last resort, including Medicaid, Medicare, Marketplace, and employer-sponsored plans.
• Educate clients on health insurance options, enrollment, and care coordination.
• Coordinate referrals to medical care and supportive services, including transportation, food, and tax assistance.
• Serve as a liaison between clients and AHN and community service providers to coordinate care and ensure access to services.
• Follow up on services provided, including maintaining transportation logs and verifying completed trips.
• Track appointments, monitor compliance, and follow up on services provided.
• Maintain accurate and timely documentation in CAREWare, Salesforce, and other systems.
• Process referrals and documentation within required timelines; maintain compliant client files.
• Assist with insurance enrollment, eligibility determinations, and subsidy programs (APTC, CSR, HIP, MAP).
• Monitor funding usage and process payments (e.g., transportation, premium assistance).
• Respond to client and partner inquiries promptly and professionally.
• Ensure compliance with HIPAA and program requirements (Ryan White, HOPWA).
• Collaborate with staff and community partners; participate in trainings and meetings.
• Adapt to changing program needs and support completion of assigned grant activities.

Requirements

• Bilingual (English/Spanish) required.
• High school diploma or equivalent required; Bachelor's degree in healthcare, social services, or a related field preferred.
• Minimum of 1-3 years of experience in healthcare, case management, insurance, or related field.
• Community Health Worker (CHW) Certification (to be obtained within 1 year, agency-funded).
• Strong computer skills, including proficiency in Microsoft Office (Word, Excel, Outlook) and experience with database systems.
• Experience with data entry and the ability to consistently maintain accurate and detailed records.
• Ability to manage workload, prioritize tasks, and meet deadlines in a fast-paced environment.
• Experience with CAREWare, Salesforce, or similar systems.
• Knowledge of Ryan White, Medicaid, Medicare, and Marketplace programs.
• Experience with eligibility determinations and insurance enrollment.

Qualifications

• Be able to sit at a computer for up to 6-8 hours per day.
• Be able to stand and walk for extended periods 1-2 hours per day.
• Be able to withstand frequent hand/wrist deviation and repetition.
• Must be able to lift, carry up to 25-30 pounds with a fair consistency.

Skills

• Excellent communication and interpersonal skills.
• Strong organizational and time management skills.
• Proficiency in Microsoft Office and database systems.
• Ability to work independently and as part of a team.
• Compliance with federal, state, and organizational guidelines.

Benefits

• Medical Insurance & Vision provided at no cost to the Employee.
• Health Savings Account (HSA) includes employer matching $35.00 per month.
• Dependent Care Flexible Savings Account (FSA).
• Low-cost health insurance options for your dependents.
• Dental Insurance.
• Free Life Insurance and Long-Term Disability.
• Tuition Assistance and more!