HIV Medical Case Manager

Who We Are:

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Job Summary:

Hours: Full-time, Monday-Friday; 08:30am -5:00pm; 
Union: Yes
Union Name: 1199 SEIU
Patient Facing: Yes

Boston Health Care for the Homeless Program (BHCHP) is offering a wonderful opportunity to work as a part of a vibrant multidisciplinary HIV team. As a program recognized nationally for its innovative programming and provision of the highest quality health care for people experiencing homelessness, the Medical Case Manager will work to address key social determinants of health for people living with HIV and substance use disorder who are experiencing homelessness; and do so within a collaborative team-based community health center context. This position is funded until the end of February 2028 with the possibility for renewal. If this funding is not renewed, this position will end February 28, 2028.

Responsibilities:

• Assess new HIV patients for financial, psycho-social, housing, and other needs. Develop comprehensive service care plan with the patient; assess Ryan White eligibility and care plan at intake and every 6 months; attend all required Boston Public Health Commission Ryan White trainings (including on eligibility and program updates)
• Work with patients to reduce barriers to full engagement in HIV care and treatment, including via collaboration with legal and housing advocates; assist patients in attending important appointments including medical, benefits, mental health, etc., by arranging transportation and addressing other barriers; accompany patients as needed to important housing, legal and social service appointments; as well as to medical and behavioral health appointments when indicated; track patients who miss appointments and reschedule as necessary, document care appropriately in medical record
• Identify, in collaboration with rest of the multidisciplinary team, which patients will benefit from outreach visits at shelters, outside agencies, jail, or their place of residence; participate in HIV care team to exchange information, develop an integrated care plan, etc., in partner notification program, and in multidisciplinary HIV care team meetings to collaborate on integrated care plans and coordinate care
• Conduct intensive outreach visits on the streets, drop in spaces, outside agencies, jail, or patients’ homes to connect with patients who are newly diagnosed with HIV and not yet in care, or who have fallen out of care

Qualifications:

• Associate’s or bachelor’s degree in a related field and/ or equiva