Medical Case Manager, HIV/AIDS
Listed on 2026-01-12
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Healthcare
Community Health, Mental Health, Healthcare Nursing -
Social Work
Community Health, Mental Health
The Medical Case Manager will work closely with clients living with HIV/AIDS who have multiple psychosocial and/or health related needs. Medical Case Management services is a strength- based approach to service that includes treatment adherence counseling, coordination and follow-up of medical treatments, client advocacy, and assistance in obtaining housing, financial support, legal services, social support and any other needed service. The goals of Medical Case Management is to insure that clients with HIV/AIDS have timely access to comprehensive medical care and social services;
prevent disease transmission and delay of HIV progression and to promote and support client independence and self-sufficiency.
- Works in collaboration with the Medical Providers in the c to identify clients at intake that are in need of Medical Case Management.
- Collaborate and Consult with Clinical Staff to identify current clients who are in need of medical case management services.
- Respond within 24 hours to requests for case management services.
- Complete patient screening to determine eligibility for medical case management services.
- Provide feedback to patient’s provider care team in the c as needed.
- Provide face-to-face assessment and re-assessment (including assessment of adherence to treatment)
- Provide an overview of case management services including the role and responsibility of the case manager and the client.
- Completion of the comprehensive assessment, within 30 days of initial screening, to determine the client’s strengths, resources, needs and problems.
- Monitoring of HIV medication therapy to include education of client concerning risks and side effects, monitoring client adherence and tolerance of medications.
- Document the CD4 count, results of viral load test, or prescribed ART medications every 180 days (every 6 months).
- Client education about HIV, its transmission, complications, risk reduction and education.
- Work with client to develop an individual Service Coordination Plan which includes realistic, measurable and mutually acceptable goals that are based on the results of the assessment.
- Identify action steps needs to achieve each goal, including target dates for accomplishment of the stated goals.
- Active linkages of client to appropriate agencies required to assist the client in achieving the goals and objectives identified in his/her Service Plan.
- Obtain client and case manager’s signatures on Service Coordination Plan.
- Copy plan and give to client and file original in client’s file.
- Face to face interaction with client at least every 90 days.
- Complete review of Service Coordination Plan every 90 days; making any changes, additions or deletions to current services.
- Obtain clients signature on Service Coordination Plan review indicating the agreement for continued contact and case management services.
- Develop intervention plan to re-engage client if face-to-face contact is not maintained and include the intervention in the Service Coordination Plan.
- Document treatment adherence activities in clients file; these include keeping medical appointments, taking prescribed medication, refilling prescriptions, etc.
- Complete reassessment annually including the development of a new Service Coordination Plan.
In addition to the above job responsibilities, other duties may be assigned
Minimum Requirements
Education:
Bachelor’s degree or equivalent experience in a human service field.
Experience:
1-2 years Case Management experience.
Physical Demands:
This is primarily a sedentary job involving extensive use of desktop computers. This role does occasionally require traveling some distance to attend meetings and/or programs.
Preferred Qualifications
Experience:
Prior working experience with the HIV/AIDS community is preferred.
This is a restricted position, which is dependent on funding and is contingent upon funding availability.
This position is based in Charlottesville, VA. To learn more about UVA and in the Charlottesville area, visit UVA Life and Embark CVA.
This is an exempt-level, benefited position. Learn more about UVA benefits
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Anticipated salary is commensurate with qualifications and experience.
Background checks, pre-employment…
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