The HPTN 078 study is a 3-year research study designed to improve recruitment, linkage to care, and treatment among HIV-infected MSM using intensive case management. The case manager will work in collaboration with the Principal Investigator and Program Manager. He/She will be the case manager for study participants, all of whom will be MSM either newly diagnosed with HIV or previously diagnosed but not maintaining an undetectable viral load. This position will entail substantial personal interaction with about 45 patients in an effort to help support them remove barriers in achieving an undetectable viral load.
Duties and Responsibilities
Overall, the CM will counsel, support, educate, and coordinate resources needed by patients and their family member(s) (as needed/desired) from initial diagnosis so that the patients can achieve and maintain viral suppression. Specifically, the CM will:
Provide patient-centered counseling, including medication adherence counseling, to support HIV-infected MSM in their efforts to achieve and maintain viral suppression.
Serve as the patient care coordinator by providing assistance with linkage and navigation services, such as linking participants to HIV clinical service providers based on patient preference and availability of tailored options for each individual.
Assisting with necessary referrals including prior authorizations for laboratory testing, diagnostic imaging and other outpatient procedures.
Coordinating participants with appropriate psychosocial support services, community-based social services agencies and substance abuse treatment entities.
Assisting uninsured patients in applying for health insurance and prescription programs if needed. Referring patients to Department of Social Services for programs such for food assistance, if needed.
Providing education on the disability programs offered by the Social Security Administration such as SSI and SSDI.
Referring patients to community resources programs for transportation, housing/shelters, food services, and employment as needed.
Arranging transportation services to attend clinic if needed and assisting patients to enroll in transportation programs.
Act as an advocate for the clients with community based organizations and public services to reduce barriers and enhance access to care.
Assist with all needed appointments and diagnostic tests to ensure completion.
Assist with appointment scheduling and re-scheduling of missed appointments and tests.
Act as liaison with medical providers, social workers and family as needed.
A working knowledge/familiarity with laboratory evaluations and diagnostic tests is required, but will be used in consultation with the CM direct supervisor or the patient's medical team.
Communicate abnormalities to medical provider and implement intervention plans when clinically warranted in collaboration with provider.
Respond to calls from patients and use judgment to assess acuity and provide appropriate next steps.
Provide resources, guidance and assistance to patients and their support networks (e.g., family) to ultimately improve HIV outcomes and viral load suppression.
Make home visits, or meet patients outside of normal business hours, as needed.
May need to travel to the HIV clinics of patients' choosing.
Complete all study-related paperwork.
Participate in relevant training, clinical supervision, conferences and meetings, and maintain operative knowledge of existing community resources for individuals with HIV/AIDS.
Perform additional study-related duties requested by the Study Coordinator or Principal Investigator.
Bachelor's Degree in social work, psychology or other health field; counseling experience is required. Three years of experience in HIV/AIDS education, clinical care, or case management.
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