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Community Case Manager - Madison, WI
Job Code:2021-SOC-094
FT/PT Status:Social Services
Location:Madison (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 Community Case Manager provides a wide range of intensive, client-centered services to persons with HIV/AIDS in a variety of settings to expedite access to medical care with the goal of HIV viral suppression, to address medical, psychosocial, and other issues that are barriers to care, and to collaborate with other programs within Vivent Health and with local service providers for the benefit of clients and patients.

Scope of Responsibilities

Vivent Health is one of the nation’s largest providers of HIV prevention, care and treatment services with a budget approaching $150 million and employing over 450 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.

Position Responsibilities

Provide HIV medical case management services, in compliance with Federal, State, and agency standards, to persons living with HIV with the goal of viral suppression, good health outcomes, and overall stability. This includes using professional knowledge and experience to provide the following activities based on the social work model and in compliance with HRSA’s Case Management definitions:

  • Case management services, according to Ryan White Case Management Standards, through:
    • Utilization of the Acuity Index to determine level of need and eligibility for case management services;
    • Performing Assessments;
    • Development and monitoring of Service Plans;
    • Coordination of services and needed care;
  • Quality consultation, referral, education, and other assistance, regardless of eligibility for case management, and to the extent required to optimize client success in effectively addressing their needs.
  • Assessment of benefits and insurance, and provision of assistance to access insurance programs.
  • As applicable, direct access to and administration of housing programs and financial assistance to stabilize a client’s housing and financial circumstances. 
  • Maintain appropriate client files and timely documentation of services utilizing electronic health records and case management software such as EPIC, Provide Enterprise, and location-specific software.
  • Contribute as an active member of the Social Services Department by participating in staff meetings, client staffing, trainings and workshops, department or agency planning activities, assisting in special projects, and providing support, peer mentoring, and training to co-workers.
  • Collaborate extensively with Vivent Health’s Pharmacy, Medical, Dental, and Behavioral Health Clinics to ensure that clients obtain appropriate and timely access to needed care, and to maximize adherence to medical treatment plans.
  • Work cooperatively with other Vivent Health staff, inform clients of the services available through Vivent Health and in the community, and link clients to them as appropriate. Access to medical care is underscored, as well as providing or assisting with the provision of support services such as client groups, food pantry, housing assistance, holiday gifts, back to school supplies, volunteer services, transportation assistance, and financial assistance.
  • Establish and maintain effective working relationships with the appropriate community resources , including those providing HIV testing and health, mental health, and social services to underserved and target populations. 
  • Participate, dependent on the needs of the location, in Food Pantry operations by providing assistance with food bundling, food distribution, pantry inventory, and other pantry tasks; and in maintaining a functional and professional Vivent Health facility through communication of maintenance needs with the Facilities Manager and landlord.
  • Update and maintain a strong working knowledge of HIV/AIDS, treatments, risk reduction techniques, chronic diseases, mental health issues, insurance and benefits, case management and other related issues through self-study and participation in trainings, workshops, and in-services in consultation with supervisor.
  • All other duties as assigned by supervising staff.

Required Qualifications

  • Baccalaureate or graduate degree in social work, health care, or a human service discipline from an accredited college or university.
  • Ability to establish rapport and maintain effective communication with culturally diverse populations from a wide range of life circumstances and backgrounds.
  • Demonstrated effective written and verbal communication skills, including client-centered communication and assessment skills.
  • Ability to effectively organize work products and files, keep clear records, and manage time well so as to optimize efficiency and productivity.
  • Willingness to travel within the designated territory and willingness to work evenings and weekends as needed.
  • Valid Driver’s License, Insurable Driving Record, and access to a reliable insured vehicle.
  • Computer skills that include at minimum a working knowledge of Windows and Microsoft Office. 
  • Ability to bend, stoop, and on occasion lift up to 30 pounds of food items for distribution to clients through Pantry operations.
  • Knowledge of and sensitivity to the HIV/AIDS patient population, and/or an eagerness to learn about this community.

Preferred Qualifications

  • Minimum of two years’ experience offering direct client contact in a community based social service or health service agency.
  • Extensive knowledge of medical, social and mental health delivery systems.
  •  Working knowledge of Spanish language (bilingual) is a plus.

*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: