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Outreach Case Manager
Boston Health Care for the Homeless ProgramUnited Statesfull_timeVerifiedPosted 4 Aug 2026
💰 $72,000/yr($44,000/yr – $72,000/yr)
About the role
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, 8:30am – 5:00pm
Union: Yes
Union Name: 1199 SEIU
Patient Facing: Yes
The Outreach Case Manager (OCM) is part of a nationally recognized, innovative multidisciplinary HIV Primary Care Team at Boston Health Care for the Homeless Program (BHCHP). The OCM provides community-based outreach, linkage, and retention services to support patients in engaging and remaining in HIV primary care.
Working alongside Outreach Nurses and an Outreach Social Worker, the OCM identifies and engages a vulnerable subset of patients who would benefit from enhanced outreach-based support. The Outreach Team helps patients overcome barriers to care, including homelessness and housing instability, substance use disorder, legal system involvement, and challenges accessing insurance and other public benefits.
Using a patient-centered, strengths-based approach, the OCM works intensively with patients for up to one year to promote sustained engagement in HIV primary care at BHCHP and support their transition to greater independence in managing their care.
This position has been funded by the Massachusetts Department of Public Health for more than 10 years and is currently funded through June 30, 2028, with the possibility of renewal. If funding is not renewed, the position will end on June 30, 2028.
Responsibilities:
Provide intensive linkage and retention outreach services to approximately 20 of the HIV team’s most vulnerable patients living with HIV and experiencing homelessness or housing instability, with a focus on building therapeutic relationships to promote medication adherence and active engagement in health care.
Linkage and retention services specifically will include:
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, 8:30am – 5:00pm
Union: Yes
Union Name: 1199 SEIU
Patient Facing: Yes
The Outreach Case Manager (OCM) is part of a nationally recognized, innovative multidisciplinary HIV Primary Care Team at Boston Health Care for the Homeless Program (BHCHP). The OCM provides community-based outreach, linkage, and retention services to support patients in engaging and remaining in HIV primary care.
Working alongside Outreach Nurses and an Outreach Social Worker, the OCM identifies and engages a vulnerable subset of patients who would benefit from enhanced outreach-based support. The Outreach Team helps patients overcome barriers to care, including homelessness and housing instability, substance use disorder, legal system involvement, and challenges accessing insurance and other public benefits.
Using a patient-centered, strengths-based approach, the OCM works intensively with patients for up to one year to promote sustained engagement in HIV primary care at BHCHP and support their transition to greater independence in managing their care.
This position has been funded by the Massachusetts Department of Public Health for more than 10 years and is currently funded through June 30, 2028, with the possibility of renewal. If funding is not renewed, the position will end on June 30, 2028.
Responsibilities:
Provide intensive linkage and retention outreach services to approximately 20 of the HIV team’s most vulnerable patients living with HIV and experiencing homelessness or housing instability, with a focus on building therapeutic relationships to promote medication adherence and active engagement in health care.
Linkage and retention services specifically will include:
- Accompaniment to medical, social service, housing and legal appointments and debriefing with patients after visits and updating HIV team and collaborating agencies as needed
- Active follow-up on client referrals to a wide range of support services
- Field-based outreach and other activities to locate patients who may be out of care, or at high risk of disengaging from care. Outreach may be conducted with other team members including HIV nurses, providers, behavioral health providers, and case managers. Outreach sites may include streets, shelters, patient homes, AIDS service organizations, hospitals, residential treatment programs, and other locales as needed. (Outreach is always done with at least one other outreach staff member)
- Co-create Individual Service Plans with clients as well as with input of the multidisciplinary HIV team, monitor implementation of plans and document updates in electronic medical record
- Ensure linkage to emergency psychiatric services, when necessary, in partnership with behavioral health team
- Assist with care coordination during discharge planning for patients in an inpatient setting at local hospitals
- Provide advocacy for patients involved in the criminal legal system, assist patients in reconnecting to care in the post-release period
- Provide motivational interviewing and risk reduction counseling for patients with substance use disorders, as well as for those engaging in other high-ri
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