Temporary Infectious Disease & Special Programs Case Manager (Bilingual English/Spanish Required)

Position Summary: Under the direct supervision of the Coordinated Services Supervisor, the Case Manager is responsible for assisting people with HIV/AIDS access the continuum of HIV care services. The Case Manager will be responsible for providing direct services, and coordinating services for clients who are HIV+ and conducting a comprehensive uniform assessment in the following areas: health status, medical care and provider, activities of daily living and mental health status. The Case manager will be responsible for maintaining comprehensive files for each client and developing a care plan based on client needs. Will represent Our Place in the community, interacting and networking with community service agencies that provide services to HIV positive individuals and their families. Cultivates and maintains communication and networking with multi-ethnic organizations in the HIV/AIDS community. Serves as a role model for cultural and linguistic competency. Maintain client confidentiality at all levels. This is a full-time, temporary assignment through December 2026. Extension or conversion based on business needs. Essential Functions of the Job: Develop excellence in case management services which will enrich and enhance the quality of life, dignity and respect of people living with HIV, to a caseload of 30-50 clients (caseload may be adjusted based on acuity level of caseload) Conduct an initial comprehensive acuity assessment to determine the medical, psychosocial, and social service needs of clients living with HIV and refer accordingly to the appropriate level of care. Assessment is completed at intake and a reassessment every 120 days at minimum. Face to face contact at a minimum of every 90 days and phone contact with clients to review created care plan is completed at minimum of once every 30 days Ensure clients are enrolled in medical care, have appropriate coverage (ADAP and Ryan White), and provide coordination and follow-up of medical treatment. Identify barriers to care and barriers to retention in care. Support the successful completion of appropriate referrals to resources and services including: (but are not limited to): transportation, medication assistance, housing, mental health counseling, substance use counseling, legal services, food assistance, financial assistance, etc. and advocate for the procurement of benefits and services Timely professional maintenance of records and documentation, including progress notes, treatment plans and ongoing evaluation of client progress, consistent with scope of work, agency expectations and ethical standards. Responsible for entering all required client related data into ARIES within 2 business days of completing the service Implement Evidence Based Practices (EBP) such as: Motivational Interviewing, Trauma-Informed Care, Harm Reduction and Person-Centered Care approach. Actively partner, utilizing EBP’s, with clients to identify their priorities to develop the care plan to clearly define areas for needed services Assists the Coordinated Services Supervisor in monitoring the quality assurance and evaluation process ensuring contract compliance and outcome and process objectives for clients and their families are met. Assists in the preparation of monthly narrative and statistical reports covering progress toward meeting outcome and process objectives established in the case management contract Increase relationships and communication with other San Ysidro Health programs and locations. Represent San Ysidro Health and the HIV department to other programs, organizations and community groups. Network with other HIV and social support service providers. Participate in all multi-disciplinary team meetings, staff meetings, and selective staff development trainings, as directed Provide Spanish language interpretation as required to assist clients in meeting care plan goals. Utilize provided translation services for clients in need of additional language support. Maintain a f…