Infectious Disease & Special Programs Case Manager (On-Site) Job Description Posted Friday, August 8, 2025 at 10:00 AM
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.
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 infected and/or affected by HIV/AIDS
Conduct a comprehensive assessment and administer an acuity scale to determine the medical, psychosocial, and social service needs of HIV+ clients; assessment is completed at intake and every 120 days at minimum; face to face and phone contact with clients is completed at minimum of once every 30 days
Ensure clients are enrolled in medical care and receive appropriate referrals to needed services as established in case plan. Services include (but are not limited to): medication assistance, housing, mental health counseling, substance abuse counseling, legal services, etc.
Advocate for clients and assist them in the procurement of benefits and services; provide necessary information, referrals for established care plans and advocate for client needs
Maintain a caseload of 30-50 clients (caseload may be below 30 based on acuity level of caseload and with prior approval from Case Manager Supervisor)
Responsible for entering all required client related data into ARIES within 2 business days of completing the service
Timely professional maintenance of records and documentation, including progress notes, treatment plans and ongoing evaluation of client progress, consistent with agency expectations and ethical standards
Follow all confidentiality and HIPPA guidelines and protocols
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
Additional Duties and Responsibilities:
Provide AIDS Drug Assistance Program (ADAP) and Ryan White enrollment as needed and ensure all eligible clients complete the ADAP enrollment process
Increase relationships and communication with other San Ysidro Health programs and locations. Represent San Ysidro Health and Our Place to other organizations and community groups; network with other HIV and social support service providers
Provide Spanish language interpretation as required to assist clients in meeting case plan
Support and participate in activities and group events organized by HIV Department including but not limited to AIDS Walk, San Diego LGBT Pride Parade, and Clients’ Holiday Event
Participate in all multi-disciplinary team meetings, staff meetings, and selective staff development trainings, as directed
Maintain a flexible schedule to allow for some weekend work as well as emergency coverage of shifts to meet the needs/demands of clients and related activities and events
Coordinate and post weekly schedules, advising Program Supervisor with any changes or time-off requests
Responsible for punching in daily and being compliant with SYH policies and procedures
Perform other related activities as required or assigned by program supervisors, managers, or directors
Job Requirements
Experience Required:
Three (3) years of experience working in human or social services
Education Required:
High School Diploma or GED equivalent
Verbal and Written Skills Required to Perform the Job:
Excellent oral and written communication skills
Communicate clearly and concisely, both orally and in writing
Technical Knowledge and Skills Required to Perform the Job:
Knowledge of health and psychosocial issues concomitant to HIV disease
Exercise tact, objectivity, sensitivity, strategy and judgment in dealing with a variety of people with a variety of co-occurring disorders
Organize, set priorities and exercise sound independent judgment within areas of responsibility
Establish and maintain effective working relationships with professional staff, clients, family members, and the public
Equipment Used:
Proficient in Microsoft Office (Power point, Microsoft Word, Excel including pivot tables, Outlook), projectors, various software including ARIES, and Microsoft office
Working Conditions and Physical Requirements:
Physical Activities standing, walking, sitting and lifting 25 lbs.
May be required to travel to other facilities
May be required to work evenings and/or weekends
Universal Requirements:
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.
About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.