Care Coordinator for HIV Patients

2 days ago

Madison, Wisconsin, United States Vivent Health Full time
Job Title: Linkage to Care Coordinator

Vivent Health is seeking a highly motivated and compassionate Linkage to Care Coordinator to join our team. As a Linkage to Care Coordinator, you will play a critical role in providing intensive care coordination, support, and services to HIV-positive individuals who require rigorous assistance to improve their ability to access and remain in care.

Job Summary:

The Linkage to Care Coordinator will coordinate with HIV testing sites as needed to initiate access to care; work with clinical staff to promote adherence to medical, behavioral, oral health, and pharmaceutical care; provide treatment education; collaborate with other programs within Vivent Health and with local providers; and offer direct interventions to reduce barriers to care for the benefit of patients.

Key Responsibilities:
  • Provide highly focused, intensive, time-limited support to persons newly diagnosed with HIV disease, persons from corrections facilities who are returning to the community (if applicable), persons at high risk for falling out of care, or who have lapsed from care.
  • Conduct immediate response for newly diagnosed clients in clinic or outside testing partner agencies as assigned.
  • Complete intake and other screenings to identify barriers to care and, with the patient, devise possible solutions that are effective and sustainable.
  • Provide case management services, according to the state HIV Medical Case Management Standards, to persons with HIV infection through assessments/reassessments, service planning, coordination of services, and service plan monitoring.
  • Work with appropriate community physicians, nurse practitioners, therapists, dentists, pharmacists, and case managers to identify patient health needs and to ensure accessible, confidential, and high-quality services to patients.
  • Work with patient and providers to develop and implement a health care plan to meet patient needs and retain patient in care.
  • Assess benefits and insurance, and if needed, provide assistance to access payor programs. Enroll in Vivent Health's Medical Home if applicable.
  • Facilitate communication among the care team.
  • Provide HIV disease prevention and treatment adherence education.
  • Assist with making appropriate referrals for services needed to stabilize patient in care and follow-up to ensure service delivery.
  • Accompany patients to health appointments; in consultation with the supervisor, this may include transportation to and from and attendance at the appointment.
  • Provide a level of service that is highly intensive. This involves large amounts of time in the community, at patient homes, and in other locations that meet the patient's needs best.
Requirements:
  • Bachelor's degree in social work, health care, or a human service discipline from an accredited college or university is required.
  • 2+ years' experience in outreach-type activities, conducting screening, providing education, and/or direct services in a community-based health clinic or social service environment.
  • Must have a valid driver's license.
  • Local Travel for Home/Community Visits, Med Appts, etc.
  • Knowledge of and sensitivity to the HIV/AIDS patient population, and/or an eagerness to learn about this community.
  • Extensive knowledge of medical, social, and mental health delivery systems.
  • Extensive knowledge of HIV disease and related issues, disease progression, and treatment options.
  • Demonstrated effective written and verbal communication skills, including client-centered communication and assessment skills.
  • Ability to establish and maintain effective public and working relationships with culturally diverse populations from a wide range of life circumstances and backgrounds.
  • Ability to effectively organize work products and files, keep clear records, and manage time well so as to optimize efficiency and productivity.
  • Working knowledge of Spanish language (bilingual) is a plus.
What We Offer:

Vivent Health offers a competitive salary, starting at $43,680 annually, depending on experience. We also offer public student loan forgiveness programs, which may qualify you for federal student loan forgiveness. Our organization is a not-for-profit under Section 501(c)(3), making us an eligible employer for these programs.

Please follow this URL to review one such program and their requirements: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service

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