We are currently looking for an enthusiastic, professional and experienced individual to assist with, linkage to care, re-engagement into care and case management activities on an exciting project for Getting to Zero. The Getting to Zero campaign will work with HIV-positive individuals, both newly diagnosed and living with HIV but unsuppressed.
This project is designed to improve engagement, linkage to care, and treatment among HIV-infected individuals using intensive case management. The case manager will work in collaboration with the Principal Investigator, Program Manager and clinic staff. The case manager will be the case manager for all getting to zero project patients, all of whom will be either newly diagnosed with HIV or previously diagnosed but not maintaining an undetectable viral load. This position will entail substantial personal interaction with about 50 – 100 patients in an effort to help support them remove barriers in achieving an undetectable viral load.
Specific Duties & Responsibilities
Case Manager (CM) Duties:
Overall, the Getting to Zero Navigator will counsel, support, educate, and coordinate resources needed by patients and their family member(s) (as needed/desired) from initial diagnosis so that the patients can achieve and maintain viral suppression along with working with other team members to re-engage and re-link patients who are out of care into care. Specifically, the Getting to Zero Navigator will:
Provide patient-centered counseling, including medication adherence counseling, to support HIV-infected individuals in their efforts to achieve and maintain viral suppression.
Serve as the patient care coordinator by providing assistance with linkage and navigation services, such as:
Re-linking participants to HIV clinical service providers based on patient preference and availability of tailored options for each individual.
Assisting with necessary referrals including prior authorizations for laboratory testing, diagnostic imaging and other outpatient procedures.
Coordinating participants with appropriate psychosocial support services, community-based social services agencies and substance abuse treatment entities.
Assisting uninsured patients in applying for health insurance and prescription programs if needed. Referring patients to Department of Social Services for programs such for food assistance, if needed.
Providing education on the disability programs offered by the Social Security Administration such as SSI and SSDI.
Referring patients to community resources programs for transportation, housing/shelters, food services, and employment as needed.
Arranging transportation services to attend clinic if needed and assisting patients to enroll in transportation programs.
Act as an advocate for the clients with community based organizations and public services to reduce barriers and enhance access to care.
Assist with all needed appointments and diagnostic tests to ensure completion. Assist with appointment scheduling and re-scheduling of missed appointments and tests.
Act as liaison with medical providers, social workers and family as needed.
A working knowledge/familiarity with laboratory evaluations and diagnostic tests is required, but will be used in consultation with the CM direct supervisor or the patient’s medical team.
Communicate abnormalities to medical provider and implement intervention plans when clinically warranted in collaboration with provider.
Respond to calls from patients and use judgment to assess acuity and provide appropriate next steps.
Provide resources, guidance and assistance to patients and their support networks (e.g., family) to ultimately improve HIV outcomes and viral load suppression.
Make home visits, or meet patients outside of normal business hours, as needed. May need to travel to the clinics.
Complete all project-related paperwork.
Participate in relevant training, clinical supervision, conferences and meetings, and maintain operative knowledge of existing community resources for individuals with HIV/AIDS.
Participate in REACH outreach activities and assist in HIV Testing events.
Perform additional duties requested by the Program or Principal Investigator
Bachelor’s Degree in nursing, psychology or other health field; counseling experience is required.
Three (3) years of experience in HIV/AIDS education, clinical care, or case management.
Master’s degree preferred.
Special Knowledge, Skills, and Abilities
Strong Counseling Skills.
Experience working with diverse populations (i.e., various age, sexual orientation, race/ethnicity, socio-economic circumstances).
Must maintain current certification in all applicable required training classes.
Excellent interpersonal, written and verbal skills.
Must have strong organizational skills with ability to work independently and prioritize multiple tasks.
Capable of case managing a client case load of 50 - 100 patients.
Able to communicate with patients on nights and weekends via telephone as needed.
Will use Uber to travel throughout the city and, potentially beyond city limits.
Computer skills adequate in Word, Excel, PowerPoint and related software. Critical is a comfort in working in a web-based environment – for example entering data online.
Classified Title: Case Manager Working Title: Getting to Zero Navigator Role/Level/Range: ACRP/03/MB Starting Salary Range: $38,920 - $53,520/ commensurate with experience Employee group: Full Time Schedule: Monday - Friday, 8:30a - 5:00p / 37.5 hours per week (nights and weekends as needed) Exempt Status: Exempt Location: 06-MD:School of Nursing Department name: 60009277-Research Administration Personnel area: School of Nursing
The successful candidate(s) for this position will be subject to a pre-employment background check.
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The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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