Medical Case Manager (Healthy Aging)

About Us At Colorado Health Network (CHN), we believe that our employees are our most valuable asset. We are dedicated to fostering an inclusive and diverse workplace that celebrates individuality, creativity, and the unique perspectives each employee brings. We welcome applicants with diverse lived experiences, including those directly related to this position. At CHN, we are committed to providing a supportive, inclusive, and dynamic work environment where all employees can grow and thrive. Our commitment to diversity extends to all aspects of our work, and we strongly encourage individuals from diverse backgrounds to apply. CHN is an equal opportunity employer, and we embrace applicants regardless of age, race, color, disability, HIV status, gender identity, sexual orientation, national origin, or other characteristics that make you unique. Position Summary Working within the Community Health Innovation Department and under the Healthy Aging team, the Medical Case Manager (Healthy Aging) will provide individualized, comprehensive case management and advocacy services to older (50 years old or older) people living with HIV/AIDS. Essential Job Functions Provides specialized Case Management, based on levels of acuity, to a caseload of assigned clients 50 years old or older. Maintains ongoing, proactive contact to assess and monitor client’s physical, cognitive and psychosocial status and needs through personal visits, telephone and written contacts. Conducts comprehensive intake and needs assessments to identify client needs, including but not limited to: Access to healthcare and the client’s ability to self-manage and actively participate in healthcare – both HIV and age‑specific. Adherence medication and medical treatment. Short‑term and long‑term housing needs. Income stability including employment and/or retirement needs, as well as eligibility for public benefits (SSI, SSDI, Medicaid, Medicare, etc.). Mental health and substance abuse issues using program specified assessment tools. Food and nutrition. Risk reduction counseling. Collaborates with clients or their designated/appointed caregivers, uses geriatric screening results to develop strategies and goals in Individual Wellness Plans to meet identified needs and improve health outcomes. Maintains timely Individual Wellness Plans according to program policies. Assists with processing of emergency financial requests. Maintains quality and timely session documentation on all client interactions, as well as referral to and follow‑through Wellness Plan goals and aging referrals. Collects service eligibility documentation in a timely manner according to program policies. Assesses caseloads on a regular basis to determine potential changes in client acuity. Inactivates cases based on services usage according to program policies and in collaboration with Community Health Innovation team members. Collaborates and coordinates services with other HIV/AIDS and aging service providers and community agencies. Identifies internal and external resources to meet client needs, and refers clients accordingly. Completes training on the use of geriatric screening and assessment tools, integrating tools into workflow processes and procedures. Coordinates/attends Case Conferences with CHN Housing team, CHN Behavioral Health team, CHN Prevention team, CHN Healthy Aging Programs and other community providers as needed. Must be able to work in a diverse setting with diverse populations, including persons living with HIV, the LGBTQ+ community, persons of various ethnic backgrounds, and disenfranchised communities. Participates in training related to HIV, substance use, harm reduction, trauma‑informed care and related issues. Cultural Competency/Sensitivity. Qualifications Preferred: 2 years case management experience and training or 3 years Promotora experience. Must be able to work in a diverse setting with diverse populations, including sexual orientation. Ideal role for a professional with relevant knowledge of the field of aging and HIV/AIDS, and the provision of Care Management services. Must be passionate about working with older adults and people living with HIV/AIDS, be a tenacious and creative problem‑solver, and bring optimism about what is possible for our client population. Spanish language proficiency and multicultural experience strongly preferred. Bachelor's Degree in Social Work, Human Services, Public Health, Gerontology, and/or a related field or equivalent experience required. Candidates actively pursuing additional education are encouraged to apply. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Education Bachelor's Degree in Social Work, Human Services, Public Health, Gerontology, and/or a related field or equivalent experience required. Candidates who are actively pursuing more education or have hopes to pursue additional education are encouraged to apply. Software Utilized Proficiency with Microsoft Office applications such as Word, Excel, Outlook, and Teams is required. Candidates should be comfortable working with client database systems and learning new software tools as needed. Knowledge, Skills, and Abilities Previous experience in the delivery of evidence‑based programs is highly preferred. Excellent communication, client services, and data collection skills. Highly organized and detail‑oriented. Personal and professional accountability; self‑management and initiative; dedication to quality improvement; professional integrity; research ethics, and cultural competency. Accuracy, efficiency, and superior organizational skills. Effectiveness in task and time management; teamwork; and communication with teams, managers, clients, participants, and consultants. Physical Demands and Work Conditions Works in an office environment. May travel via automobile or airplane to off‑site locations or for CHN business. Must have and maintain a valid Colorado driver’s license and auto insurance on personal vehicle. Requires clear speaking ability and the ability to use a telephone for extended periods. Requires ability to view a computer screen (near acuity) and fingering agility for keyboarding. Requires ability to sit, stand, and engage in extended periods of screen time or communication by phone. Benefits Health, Dental, Vision, Life, Short‑ and Long‑Term Disability Insurance, and an Employee Assistance Program (EAP). Employer pays 100% of employee’s share of health insurance premium. Paid Time Off (PTO): Generous leave policy (accrues 3 weeks of PTO after one year of full‑time employment), 13 paid holidays, up to 2 floating holidays, and 1 day of wellness time. Part‑time benefits prorated. 403(b) retirement plan with employer matching $1 for $1 up to 3% and $0.50 for levels 4 and 5. Tuition reimbursement and access to ongoing learning opportunities. Flexible Spending Account (FSA), Health Spending Account (HSA), Voluntary benefits, Employee Assistance Program. Eligible for Federal Loan Forgiveness Program. Equal Opportunity Employer Statement Colorado Health Network is an Equal Opportunity Employer (EOE). #J-18808-Ljbffr Colorado Health Network