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Medical Case Manager


SUMMARY: A Medical Case Manager/Community Health Coordinator will work with behavioral and primary care providers, Community Health and Access Coordinators, and Patient Assistance Representatives to provide intensive care management and coordination support to individuals who are at-risk of HIV/STI infection, PLWH, and those who seek assistance accessing and remaining engaged in care. The Medical Case Manager/CHC will have specialized knowledge about sexual health, ART, PrEP, PEP, HIV, STI, harm reduction, and the Ryan White program and will provide patient-centered, individualized support to individuals who are at-risk of HIV/STI infection and/or who are living with HIV. The Medical Case Manager/CHC will provide outreach, screening, education, navigation, engagement, and coordination services for at-risk populations and patients who receive Ryan White care. This person will collaborate with patients receiving PrEP and ART to address barriers to care including but not limited to access and transportation, and will collaborate with behavioral and primary care providers to engage people living with or at risk for HIV in care.

Location: Memphis, TN


The following duties are normal for this job. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

  • Provide advocacy, linkage, and referral to CHS and community resources.
  • Develop working relationships with appropriate community resources including those providing services to the target populations;
  • Promote health education and encourage patients to establish a healthcare home;
  • Educate and encourage patients to engage in preventative care and establish a patient-centered treatment plan;
  • Complete assessments to identify readiness for PrEP and collaborate with patients to develop plan to overcome barriers to readiness;
  • Assess benefits and insurance, and if needed, provide assistance to access payor programs including but not limited to Ryan White;
  • Provide ongoing follow-up to support ART adherence;
  • Acquire and utilize Motivational Interviewing skills in the provision of services;
  • Identify barriers patients have in accessing health services including transportation and help patients develop plans to overcome barriers;
  • Help patients navigate the health care system;
  • Maintain updated information about other local PrEP, PEP, and ART providers;
  • Collaborate with community organizations and businesses to participate in outreach events;
  • Enter data into appropriate databases accurately and in a timely manner;
  • Complete reporting requirements as required/requested;
  • Maintain professional relationships with patients and with other staff and maintain appropriate interpersonal boundaries;
  • Refer patients to the appropriate staff for issues that fall outside the scope of care coordination services;
  • Work effectively as a member of a multidisciplinary team using a unified care plan;
  • Document patient care including consent, assessment, intervention, and care coordination in a timely manner;
  • Respond in real-time to meet with patients with needs identified during other CHS appointments, develop plans to address, and coordinate care;
  • Participate in supervision meetings and other meetings as designated by supervisor;
  • Participate in Quality Improvement (QI), Quality Assurance (QA), and Continuous Quality Improvement Activities (CQI) as appropriate; and
  • Other duties as assigned.


Education & Experience:

  • Bachelor’s degree from a four-year university
  • 1-2 years of previous experience linking patients with various community resources preferred
  • Current or previous experience (lived or otherwise) with Ryan White services or a strong desire to work with PLWH
  • Valid driver’s license and a clean driving history

The following duties are normal for this job. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

Cherokee Health Systems provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, gender identity, sexual orientation, or genetics.

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