HIV Case Manager/Test Counselor

Open Door Family Medical Center provides health care and wellness programs to individuals and families in need throughout Westchester, Putnam and Ulster Counties. A pioneer Federally Qualified Health Center, Open Door provides more than 300,000 patient visits annually and serves nearly 60,000 individual patients who might not otherwise have access. Open Door offers integrated services and a holistic approach to building healthier communities. Primary medical care, dental care, integrated behavioral health care, clinical nutrition, wellness programs, and chronic disease management are the foundation of its clinical programs.

Founded as a free clinic in 1972, Open Door's mission of building healthier communities through accessible, equitable, culturally competent health care has led to site and service expansions. Today, Open Door operates centers in Brewster, Mamaroneck, Mount Kisco, Ossining, Port Chester, and Sleepy Hollow, in addition to eight School-Based Health Centers in the Port Chester and Ossining School Districts, a mobile dental van in Mount Kisco, and a new dental practice in Saugerties, NY.  For more information, please visit our website at

Open Door is currently seeking a HIV Case Manager / Test Counselor in our Ossining medical center. The the HIV Case Manager / Test Counselor participates in a patient-focused, team-based approach to medical care. As part of the medical care team, the services provided by the HIV Case Manager / Test Counselor aim to improve patient health outcomes and assist patients in managing their own health care and becoming independent, and informed consumers of health care services.  Primary responsibilities include providing intensive case management services to People Living with HIV/AIDS (PLWHA), HIV pre- and post-test counseling and HIV prevention education and counseling to individuals and groups.

DUTIES AND RESPONSIBILITIES

CASE MANAGEMENT

• Conducts intake and biannual reassessments to identify psychosocial needs and risk factors, care coordination needs and barriers to health care
• Develops, implements and updates an individualized Care Plan in partnership with each patient and involved family members/caregivers
• Assesses patients' needs related to the social determinants of health (e.g. housing, literacy, employment, food, clothing, childcare, access to medication and health services, transportation, social support, emotional health, correctional system involvement, refugee or immigration status, physical safety, and domestic violence)
• Provides concrete case management services to address barriers to care, including the social determinants of health
• Serves as a healthcare system navigator to ensure that patients can access crucial aspects of health care both internal and external to Open Door.  Ensures that care is well coordinated and facilitates communication amongst medical providers.
• Assesses patients' confidence and abilities in managing their own health care
• Assists patients with insurance and prescription assistance program applications, paperwork and issues as they arise
• Implements disease specific education and assesses and addresses medication adherence issues under the direction of HIV medical specialists (MDs)
• Serves as liaison between HIV medical specialists and patients
• Case conferences with HIV medical specialist and follows up with patient and/or HIV medical specialist on identified matters
• Documents all patient care activities in the electronic medical record and other required data bases
• Coordinates and facilitates patient support groups as needed
• Establishes and maintains active and positive linkages with other community agencies and participates in inter-agency meetings as assigned by supervisor
• Participates in Quality Improvement meetings and initiatives

HIV COUNSELING AND TESTING

• Carries out HIV counseling and testing activities for those at risk of HIV infection as defined by Open Door policy and within guidelines of NYS Public Health Law
• Delivers positive HIV test results, carries out partner notifications responsibilities of the agency and facilitates timely referral to HIV specialty medical care
• Maintains supplies of HIV educational materials and HIV testing materials at assigned Open Door sites
• Documents all patient care activities in the electronic medical record and other required data bases

HIV PREVENTION EDUCATION AND COUNSELING

• Identifies patients at high risk for HIV and conducts risk reduction counseling and education
• Develops, coordinates and implements education and outreach programs for internal and external audiences
• Participates in the development of appropriate education and outreach materials
• Develops, coordinates and implements staff in-reach activities to ensure awareness of HIV program services, increase appropriate referrals for HIV prevention counseling and provide current information on HIV and STI prevention and care

ADDITIONAL DUTIES

• Documents all patient care activities in the electronic medical record clearly and accurately in a timely manner
• Conducts other data tracking and reporting activities as assigned
• Utilizes evidence-based and best-practice techniques on a daily basis in accordance with training (e.g. teach-back method, Motivational Interviewing and SMART [specific, measurable, attainable, realistic and timely] goal setting) 

COMMUNICATION

• Informs the Senior Manager, HIV Care & Prevention Programs or the Senior Director, Community Health of any problems that may affect quality and standards of patient services
• Fosters good communication between Open Door and patients by returning all patient telephone requests in a timely manner
• Demonstrates ability to function in a culturally sensitive manner within Open Door's philosophy and mission
• Serves as a facilitator of planned care within the organization and actively promotes planned care concepts
• Ensures communication among Open Door departments through individual, small group, or department meetings

PLANNING

• Attends staff and other organizational meetings, as designated, to ascertain Open Door's short- and long-range plans, programs, and goals within areas of responsibility
• Collaborates with the Senior Director, Community Health and other HIV Program staff to develop and achieve program goals and objectives annually
• Participates in staff development programs, educational activities, seminars, and training opportunities

COMPLIANCE MANAGEMENT

• Maintains patient confidentiality at all times per Open Door policies and procedures
• Adheres to National Patient Safety standards as defined by the Joint Commission on Accreditation of Healthcare Organization and the Open Door Family Medical Centers
• Prepares and maintains documentation in compliance with Joint Commission standards and applicable city, state, and federal laws
• Meets annual mandatory training requirements

MARKETING

• Participates and represents Open Door at health fairs and community outreach activities

QUALIFICATIONS

• EDUCATION: Bachelor degree in Social Work or equivalent degree in a related field
• Minimum 2 years of experience working with PLWHA or in a case management/care coordination role

SKILLS

• Fluent in English and Spanish
• Culturally competent/sensitive (racial, ethnic, linguistic, LGBTQ+, physical ability, etc.) and committed to inclusive, multi-cultural programming
• Strong interpersonal skills including excellent active listening and clear oral communication skills
• Engaging, warm and caring personality
• Strong customer service, patient-centered orientation
• Empathetic and driven to assist patients
• Passionate about providing high quality care to PLWHA as well as low-income, under-served individuals and those lacking access to health care
• Able to function effectively as a member of an interdisciplinary team and committed to collaborative team-based care
• Proficient computer skills including Microsoft Office applications such as EXCEL
• Strong writing and reading skills
• Able to understand and follow detailed instructions
• Highly organized and self-directed, able to multi-task
• Flexible and exhibits the ability to adapt as situations evolved
• Comfortable working in a fast-paced, high accountability environment
• Highly organized and self-directed, able to multi-task
• Effective in problem solving and exhibits excellent judgment and the ability to prioritize

EXPERIENCE

• Experience with working with PLWHA preferred
• Experience with case management and care coordination preferred
• Experience with community/health/social service organizations preferred
• Health education experience is preferred
• Experience with electronic medical records is preferred

REQUIREMENTS

• Must have valid New York State Driver license and daily access to car

PHYSICAL REQUIREMENTS

• Manual dexterity and regular hours at computer keyboard
• Approximately 50% sitting and 50% walking/standing
• Bending and lifting may be required

There are many fantastic benefits to a career at Open Door Family Medical Centers. In addition to working to affect positive change in the health and lives of thousands of residents in Westchester and Putnam counties, Open Door offers its employees a stimulating, diverse and team-based work environment with comprehensive benefits including medical, dental, life insurance, flexible spending accounts, 403(b) and 401(k), generous paid time off, onsite Wellness facilities, and educational assistance. Aside from excellent benefits, we offer a competitive salary and annual bonuses based on measurable goals and organizational success.

If you want to make a difference in the lives of thousands of patients and the health of our communities of Westchester and Putnam counties, and if the position speaks to your capabilities, experience and commitment to improve the health of our communities, please upload your resume and cover letter with salary requirements. Qualified candidates will be contacted by phone and/or email.

Open Door is an Equal Opportunity Employer