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Outreach Case Manager - Milwaukee, WI
Job Code:2020-SOC-053
FT/PT Status:Social Services
Location:Milwaukee Office (WI)

Explore our careers page to learn more about the benefits we offer!

Check out our Youtube channel to learn more about Vivent Health!

Videos to explore!

1) The Basics - HIV Prevention and Testing -
2) How is HIV Transmitted? -
3) HIV: Fight Back with HIV Treatment -
4) HIV: Let’s Reset What We Know -
5) HIV: The Goal of Undetectable -

Position Purpose

The Outreach Case Manager utilizes best practices and new strategies to locate HIV positive individuals who are out of care and to connect them to care. This Case Manager provides intensive support and services to these who require rigorous assistance to improve their ability to access and remain in care. This Case Manager will coordinate with the Vivent Health Quality Department, the State AIDS/HIV Program, HIV testing sites and the Vivent Health Medical Center to identify potential clients through Data to Care metrics. The Case Manager will utilize agencies and resources to locate these clients and initiate access to care through barrier identification, HIV disease and treatment education, and care coordination.

Scope of Responsibilities

Vivent Health is one of the nation’s largest providers of HIV prevention, care and treatment services with a budget approaching $130 million and employing over 400 professionals.

The unique, nationally recognized Vivent Health HIV Medical home model of care assures that everyone with HIV has access to medical, dental, mental health and social services and provides the best opportunity for patients to achieve high quality health outcomes. Vivent Health also provides aggressive HIV prevention services to gay men, injection drug users and others at the highest risk for HIV infection.

Vivent Health currently operates in multiple states nationwide. It embraces a Market Culture to increase access to care, enhance quality outcomes, achieve and surpass financial performance expectations and has an aggressive plan to expand into additional states. 

Essential Functions

  • Collaborate with the State AIDS Program and Vivent Health management, assist in the development of a new approach to case management that includes more intensive case finding of those living with HIV who are not connected to any care providers. Assist with development of strategies that successfully connect these individuals to care and keep them in care.
  • Utilize Data to Care methodology to identify HIV positive individuals out of care.
  • Using best practices from Linkage to Care, Medical Case Management and HIV Partner Services, perform case finding in the community to locate out of care individuals. This will include utilizing investigative strategies like social media searches as well as home and other community visits to attempt to locate and connect with individuals out of care.
  • Once located, provide education, barrier removal, resource identification and care coordination to link the individuals to ongoing case management, medical care and other needed care.
  • Provide highly focused, intensive, support and care coordination to small caseload of individuals at high risk for falling out of care or who have lapsed from care.
  • Complete intake, acuity index and comprehensive assessment to identify barriers to care and other relevant needs. With the client, construct a service plan that contains goals about connections to care, health and stability achieved through effective and sustainable solutions. Maintain compliance with State HIV Medical Case Management Standards.
  • Build a care team around each client of Vivent Health and community physicians, nurse practitioners, therapists, dentists, pharmacists, and community case managers to identify patient health needs, facilitate communication and ensure accessible, confidential and high-quality services to mutual clients/patients.
  • Provide HIV disease prevention, chronic disease education, treatment education and adherence counseling.
  • Facilitate access to health insurance and benefits, including enrollment in Vivent Health’s Medical Home if applicable.
  • Provide appropriate referrals for services needed to stabilize client in care and follow-up to ensure service delivery.
  • Accompany clients to health appointments; this may initially include transportation to and from the appointment while other resources for this need are identified.
  • Monitor and improve client’s progress to self-advocacy and full participation in his/her care decisions.
  • Provide a highly intensive level of care coordination and case management with client-centered interventions. The Outreach Case Manager spends significant time in the community, at client homes and in other locations that best meets client need. This intensive service is to aid the client in attaining health, stability and readiness for standard medical case management services at a point in the future deemed appropriate.
  • Establish a working relationship with appropriate community resources in the area, including those providing HIV Partner Services, HIV testing, and health, mental health and social services to underserved and target populations.
  • Maintain appropriate patient files and timely documentation of services utilizing electronic case management and medical software such as Provide Enterprise and EPIC.


Required Qualifcations

  • Graduate Degree in Social Work, Health Care, or a Human Service discipline from an accredited college or university 
  • Valid Driver License 
  • Willingness to maintain flexible hours
  • Willingness to travel within the designated territory and to transport patients/clients when necessary
  • Knowledge of and sensitivity to the HIV/AIDS patient population, and/or an eagerness to learn about this community



*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions*

**Equal Employment Opportunity/Affirmative Action Employer* *

Vivent Health is an equal opportunity employer and will recruit, hire, promote and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy) or mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that may be mandated by specific county or municipal regulations. As a recipient of federal funding, Vivent Health will not hire nor enter into a contractual relationship with any party that is debarred, suspended, or excluded from federal assistance programs.

*Public Student Loan Forgiveness*

Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for – nor forgive – federal student loans; however our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.

Please follow this URL to review one such program and their requirements: