Open Door Care Network · 3 hours ago
HIV Case Manager/Test Counselor
Ossining - Ossining, NY 10562
Full-time
Onsite
Entry, Mid Level
$25/hr - $25/hr
2+ years expOpen Door Family Medical Center provides health care and wellness programs to individuals and families in need throughout Westchester, Putnam and Ulster Counties. They are seeking an HIV Case Manager / Test Counselor to participate in a patient-focused, team-based approach to medical care, aiming to improve patient health outcomes and assist patients in managing their own health care.
Health CareHospitalMedical
Responsibilities
Conducts intake and biannual reassessments to identify psychosocial needs and risk factors, care coordination needs and barriers to health care
Develops, implements and updates an individualized Care Plan in partnership with each patient and involved family members/caregivers
Assesses patients’ needs related to the social determinants of health (e.g. housing, literacy, employment, food, clothing, childcare, access to medication and health services, transportation, social support, emotional health, correctional system involvement, refugee or immigration status, physical safety, and domestic violence)
Provides concrete case management services to address barriers to care, including the social determinants of health
Serves as a healthcare system navigator to ensure that patients can access crucial aspects of health care both internal and external to Open Door. Ensures that care is well coordinated and facilitates communication amongst medical providers
Assesses patients’ confidence and abilities in managing their own health care
Assists patients with insurance and prescription assistance program applications, paperwork and issues as they arise
Implements disease specific education and assesses and addresses medication adherence issues under the direction of HIV medical specialists (MDs)
Serves as liaison between HIV medical specialists and patients
Case conferences with HIV medical specialist and follows up with patient and/or HIV medical specialist on identified matters
Documents all patient care activities in the electronic medical record and other required data bases
Coordinates and facilitates patient support groups as needed
Establishes and maintains active and positive linkages with other community agencies and participates in inter-agency meetings as assigned by supervisor
Participates in Quality Improvement meetings and initiatives
Carries out HIV counseling and testing activities for those at risk of HIV infection as defined by Open Door policy and within guidelines of NYS Public Health Law
Delivers positive HIV test results, carries out partner notifications responsibilities of the agency and facilitates timely referral to HIV specialty medical care
Maintains supplies of HIV educational materials and HIV testing materials at assigned Open Door sites
Documents all patient care activities in the electronic medical record and other required data bases
Identifies patients at high risk for HIV and conducts risk reduction counseling and education
Develops, coordinates and implements education and outreach programs for internal and external audiences
Participates in the development of appropriate education and outreach materials
Develops, coordinates and implements staff in-reach activities to ensure awareness of HIV program services, increase appropriate referrals for HIV prevention counseling and provide current information on HIV and STI prevention and care
Documents all patient care activities in the electronic medical record clearly and accurately in a timely manner
Conducts other data tracking and reporting activities as assigned
Utilizes evidence-based and best-practice techniques on a daily basis in accordance with training (e.g. teach-back method, Motivational Interviewing and SMART [specific, measurable, attainable, realistic and timely] goal setting)
Informs the Senior Manager, HIV Care & Prevention Programs or the Senior Director, Community Health of any problems that may affect quality and standards of patient services
Fosters good communication between Open Door and patients by returning all patient telephone requests in a timely manner
Demonstrates ability to function in a culturally sensitive manner within Open Door’s philosophy and mission
Serves as a facilitator of planned care within the organization and actively promotes planned care concepts
Ensures communication among Open Door departments through individual, small group, or department meetings
Attends staff and other organizational meetings, as designated, to ascertain Open Door’s short- and long-range plans, programs, and goals within areas of responsibility
Collaborates with the Senior Director, Community Health and other HIV Program staff to develop and achieve program goals and objectives annually
Participates in staff development programs, educational activities, seminars, and training opportunities
Maintains patient confidentiality at all times per Open Door policies and procedures
Adheres to National Patient Safety standards as defined by the Joint Commission on Accreditation of Healthcare Organization and the Open Door Family Medical Centers
Prepares and maintains documentation in compliance with Joint Commission standards and applicable city, state, and federal laws
Meets annual mandatory training requirements
Participates and represents Open Door at health fairs and community outreach activities
Qualification
Required
Bachelor degree in Social Work or equivalent degree in a related field
Minimum 2 years of experience working with PLWHA or in a case management/care coordination role
Fluent in English and Spanish
Culturally competent/sensitive (racial, ethnic, linguistic, LGBTQ+, physical ability, etc.) and committed to inclusive, multi-cultural programming
Strong interpersonal skills including excellent active listening and clear oral communication skills
Engaging, warm and caring personality
Strong customer service, patient-centered orientation
Empathetic and driven to assist patients
Passionate about providing high quality care to PLWHA as well as low-income, under-served individuals and those lacking access to health care
Able to function effectively as a member of an interdisciplinary team and committed to collaborative team-based care
Proficient computer skills including Microsoft Office applications such as EXCEL
Strong writing and reading skills
Able to understand and follow detailed instructions
Highly organized and self-directed, able to multi-task
Flexible and exhibits the ability to adapt as situations evolved
Comfortable working in a fast-paced, high accountability environment
Effective in problem solving and exhibits excellent judgment and the ability to prioritize
Must have valid New York State Driver license and daily access to car
Manual dexterity and regular hours at computer keyboard
Approximately 50% sitting and 50% walking/standing
Bending and lifting may be required
Preferred
Experience with working with PLWHA
Experience with case management and care coordination
Experience with community/health/social service organizations
Health education experience
Experience with electronic medical records
Benefits
Medical
Dental
Life insurance
Flexible spending accounts
403(b)
401(k)
Generous paid time off
Onsite Wellness facilities
Educational assistance
Company
Open Door Care Network
Our Vision We envision thriving communities, where all our neighbors receive the care they need to live healthy lives.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Fidelis Care
2025-08-28Grant
Leadership Team
Anita Wilenkin
COO
Daren Wu
Chief Medical Officer
Company data provided by crunchbase