Ryan White Medical Case Manager/Prevention Specialist

The Ryan White Medical Case Management & Early Intervention Services Health Educator provides case management services to People Living with HIV (PLWH) along with prevention services for people at highest risk for contracting HIV.

We’re excited to find a candidate who leads with care, thrives on knowledge, and keeps things running smoothly to promote individual and population health by developing and implementing health promotion and education initiatives and health behavior-change programs for the diverse populations in Butte-Silver Bow. We are focused on strengthening community-based partnerships involving multiple public and private organizations and agencies to address the identified community health priorities. The work is performed under the general direction of the Health Services Division Manager. The nature of the work performed requires that an employee in this class establish and maintain close cooperative working relationships with Health Department employees, supervisors, clients, and the general public.

This is position is funded through immunizations and dependent on that funding.

Essential Duties and Responsibilities:

• Evaluate for eligibility of the Ryan White services & AIDS Drug Assistance Program (ADAP) and assists with application process.
• Provide initial assessment of service needs and develop a comprehensive, individualized care plan.
• Medical Case Management time must be clearly recorded in client records and monthly invoice and submitted in a timely manner.
• Timely and coordinated access to medically appropriate levels of health and support services and continuity of care.
• Continuous client monitoring to assess the efficacy of the care plan.
• Re-evaluation of the care plan at least every 6 months with adaptations as necessary.
• Ongoing assessment of the client's and other key family members' needs and personal support systems.
• Treatment adherence counseling to ensure readiness for and adherence to complex HIV treatments.
• Client-specific advocacy and/or review of utilization of services.
• In addition to providing the medically oriented activities listed, Medical Case Management will also provide benefits counseling by assisting eligible clients in obtaining access to other public and private programs (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer's Patient Assistance Programs, other state or local health care and supportive services, and insurance plans through the health insurance Marketplaces/Exchanges).
• Provide COVID-19 and other vaccination counseling and referral based on current CDC guidelines. Counseling and referral can include answering any vaccine related questions, counseling client and/or family members on recommended vaccinations, and referring for vaccination based on CDC guidelines, state recommendations and local processes.
• Perform linkage to care activities, conducts social service referrals and follow-up.
• Teach health literacy and navigation of the healthcare system including referral for insurance or Medicaid enrollment.
• Utilize and maintains online resources to advertise available HIV Prevention services, Ryan White Program services & ADAP services.
• Promote and assist with access to bio-medical interventions of pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) and provide prophylactic medication adherence support.
• Perform targeted condom distribution & education throughout the community.
• Encourage community mobilization to create enabling environments that support HIV prevention by actively involving community members in efforts to raise awareness, motivate individuals to work to end the stigma related to HIV, promote health equity and encourage risk-reduction among family, friends and neighbors.
• Support the implementation of comprehensive syringe exchange services and risk reduction counseling; including rapid antibody testing, overdose prevention education and Naloxone distribution.
• Provide support and assistance for entering substance abuse treatment and/or medication assisted treatment programs.
• Collaborate with other organizations, coalitions or events relating to HIV prevention, early intervention and treatment; and other evidence-based prevention programs.
• Conduct, at minimum of 4 outreach activities per quarter, related to prevention services.
• Assist with activities related to the Mobile Medical Clinic.
• Collaborate directly with the Title X-funded Butte Family Planning Clinic for STD/HIV testing, treatment and partner services.
• Use forms, templates and guidelines provided by the Montana Department of Public Health and Human Services.
• Follow current evidence-based guidelines issued by CDC, DPHHS, and Butte-Silver Bow County.
• Perform other duties as assigned.

Required Knowledge, Skills and Abilities

1. Strong communication and interpersonal skills (i.e., non-judgmental, objective, reflective, empathic, patient, tactful)
2. Skill in public speaking, group process and facilitation skills.
3. Excellent oral and written communications skills.
4. Effectively communicates a broad amount of information to a variety of audiences.
5. Computer skills, including computer hardware, software, email, internet, and Microsoft Office products.
6. Ability to work independently and be self-motivated (often will work in the community).

Acceptable Experience and Training

• Bachelor's degree preferred, but not required, in public health, behavioral/social sciences, clinical sciences, or a related field; or at least 3 years' experience in related field.
• Knowledge of public health education and disease prevention.
• Knowledge of HIV and interventions for both positive and at-risk individuals.
• Ability to work independently and be self-motivated (often in the field).
• Exceptional writing and interpersonal communication skills and demonstrated cultural competence are essential.
• Detailed knowledge of all current Microsoft Office software programs as well as any other software programs necessary to perform the job.
• National Incident Management System (NIMS)/Incident Command System (ICS) 100, 200, 700 and 800 certifications within six months of employment.
• HIV Counseling, Testing, and Referral System (CTRS) certification within 30 days of employment.
• Obtain Medical Case Management certificate within 90 days of employment.

Required Special Qualifications

• Possession of a valid driver’s license issued by the State of Montana;
• Must be a resident of Butte-Silver Bow during employment according to Butte-Silver Bow Ordinance. See below. "2.08.010 Residence during employment. From and after October 1, 1979, all employees of the local government of Butte-Silver Bow shall be bona fide residents within the boundaries of Butte-Silver Bow during the period of their employment by the government of Butte-Silver Bow. (Ord. 85 § 1, 1979)"

Working Conditions While Performing Essential Functions

1. General office setting in the Health Department facility, as well as various community locations and non-traditional settings.
2. Work performed in the community is sometimes subject to conditions that range from inclement weather to dangerous conditions such as snow/ice, cold, heat, noise, wetness/humidity, vibration, sudden temperature changes, and poor illumination at the job site or due to travel on the job. Travel to and from field locations may subject the employee to increased risk of driving hazards.
3. Community locations may subject the employee to communicable diseases, insects and other disease vectors, toxins, hazardous materials, chemicals and animals.
4. In all settings, employees in this classification may occasionally need to relate to members of the public who exhibit challenging, atypical or hostile behaviors and/or communication.
5. Equipment Used to Perform Essential Functions: Computer, fax, copier, personal or county vehicle, and various equipment and supplies.

Essential Physical Abilities

• Sufficient clarity of speech and hearing, with or without accommodation, which permits the employee to communicate well with clients, families, employees and health care professionals.
• Sufficient vision, with or without reasonable accommodation, which permits the employee to make comprehensive visual examinations of health conditions and to record and review a wide variety of written reports and visual materials and supplies;
• Sufficient manual dexterity, with or without reasonable accommodation, which permits the employee to operate a computer keyboard and handle small objects;
• Sufficient personal mobility, with or without reasonable accommodation, which permits the employee to visit a variety of work sites, drive a car and transport materials or supplies weighing up to 50 pounds. Ability to operate standard office equipment, including computers, printers, telephones, scanners, etc.
• Must be able to be fitted and wear NIOSH 95 mask.
• Engage in the following movements: Climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting, grasping, feeling and writing and repetitive motions.
• Exert up to 30 pounds of force occasionally, and/or a negligible amount of force constantly to move objects.
• Hearing ability sufficient enough to communicate with others effectively in person and over the phone.
• Visual ability must be sufficient enough to read typewritten documents and computer screens and drive a vehicle.

The City-County is an Equal Employment Opportunity Employer. It does not discriminate based on race, color, religion, sex, age, national origin, physical disability, or veteran status.

This job description is a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities. Tasks and duties of the employee may differ from those outlined above.

ADA Accommodation Notice

The City-County of Butte-Silver Bow is committed to providing equal access to employment opportunities. If you require a reasonable accommodation to complete the application process or participate in the hiring process, please contact us.