Medical Case Manager

Overview

The Community Health Worker (CHW) will fully integrate the multidisciplinary care team of Meharry Community Wellness Center (MCWC). He/she will develop a close relationship with patients, coach them and facilitate access to core and support services. He/she will identify, track, re-engage and monitor clients lost to care. The CHW will assist clients in dealing with competing priorities, adherence with medication, clinic visits, and specialty referrals, linkages with community-based organizations, wellness education, harm reduction, and navigation through the healthcare delivery system.

The CHW will meet with clients in the clinic, at their homes, and different access points in the community.

• Adherence counseling, harm reduction, health promotion, and patient navigation
• Collect all required data elements and provide timely reports
• Outreach services to persons living with HIV, through direct personal contact and collaborative community partnerships
• Linkages with Meharry Community Wellness Center, community-based organizations and specialty services
• Attend all mandatory meetings
• Perform other related duties as assigned by Supervisor or Executive Director.

• Basic knowledge of HIV/AIDS
• Be a team player and well-organized
• Skills in engaging people living with HIV
• Ability and willingness to use both knowledge and personal experience in facilitating linkage of individuals and groups to essential HIV health related services
• Communication skills and proven behaviors consistent with maintenance of health and wellness
• Ability to establish trust based relationships with people in an appropriate and ethical manner
• Knowledge and ability to access community resources
• Ability to attend mandatory staff meetings
• Basic computer skills and ability to collect data elements and generate reports in a timely manner
• Motivated to serve people with HIV and get trained as assigned by Executive Director or supervisor

• High school diploma with commensurate experience; associate or bachelor degree welcome
• Familiarity with people living with HIV is mandatory
• Familiarity with Nashville/Davidson and/or surrounding Counties
• Familiarity with Ryan White programs and Meharry Community Wellness Center is highly desirable
• Must possess valid driver’s license
• Willingness to attend all required trainings
• Reliability, punctuality, and discipline

• Usual office environment
• Manual dexterity
• Visual and auditory acuity
• Able to sit, stand or walk for extended periods of time
• Able to travel in Nashville/Davidson and surrounding Counties