Case Manager

Thundermist's Mission: To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles. Job Description Job Title: Ryan White Case Manager Reports to: Clinical Program Manager Department : Clinical Support - Clinical Quality FLSA Status: Non- Exempt Job Grade: 6 Version Date: March 2026 General Responsibilities: The Ryan White Non-Medical Case Manager is a patient-facing role responsible for coordinating comprehensive, non-medical case management services for Ryan White patients (medical and dental). This role focuses on identifying and addressing barriers to care, including housing instability, transportation needs, food insecurity, behavioral health needs, and access to insurance or financial resources. The Case Manager conducts patient assessments, develops individualized care plans, and coordinates referrals to internal and external community resources. This position supports patient enrollment and re-enrollment in Ryan White and related programs, ensuring all eligibility requirements and documentation are complete, accurate , and up to date. Through a client-centered, relationship-based approach, this role plays a critical part in improving patient engagement, retention in care, and overall health outcomes. The Ryan White Non-Medical Case Manager works collaboratively with the Ryan White team, multidisciplinary care teams, community partners, and internal staff to address social determinants of health, remove barriers to care, and ensure patients remain connected to medical and supportive services. Responsibilities include maintaining accurate and timely documentation in required systems, tracking referrals to ensure completion, and conducting outreach and re-engagement efforts for patients at risk of falling out of care. This role supports program goals by ensuring compliance with Ryan White program requirements and contributing to quality improvement initiatives. The position requires obtaining an HIV Case Manager certification to support the delivery of evidence-based, client-centered care and demonstrate specialized knowledge in HIV and behavioral health. This certification enhances the ability to address barriers to care, improve treatment adherence, and strengthen patient engagement and outcomes. Qualifications: Required Qualifications: BA/BS in a clinical/healthcare or related field (Social Work, Public Health, Nursing, Psychology) required , or relevant industry specific experience considered in lieu of college degree where possible. HIV Case Manger Certification (or equivalent) is preferred. Behavioral Health Case Manager Certification (or equivalent) is preferred. Two or more years of patient care experience in a health care environment include case management, care coordination, or social services. Experience with multidisciplinary care teams , and involvement with complex programs required . Preferred Qualifications: Clinical/ambulatory care setting preferred. FQHC experience preferred. HIV Case Manger Certification (or equivalent) is preferred. Familiarity with the Ryan White HIV/AIDS Program and understanding of the challenges faced by the target population. Bilingual or multilingual abilities. Familiarity with clinical quality improvement methodologies. * Candidates who do not meet all of the preferred qualifications are encouraged to apply . Significant Job Functions: Provide comprehensive non-medical case management to Ryan White patients, addressing barriers to care including transportation, housing, food insecurity, behavioral health, medication, insurance, and financial challenges Conduct proactive outreach and engagement, including wellness checks, to support patients at risk of falling out of care and assist with re-engagement Assist patients with navigating community resources and initiating referrals to external agencies (e.g., housing, behavioral health, financial assistance ), including partners such as Agape, ACOS, and APRI Facilitate and track referrals to ensure patients attend appointments and receive necessary services Assist in clinical quality assurance by reaching out to non-compliant patients to schedule appointments and improve adherence . Program Enrollment, Benefits & Financial Support Manage Ryan White program enrollment and re-enrollment (medical & dental), ensuring all required documentation is obtained and maintained Enroll and support patients in ADAP, RIFAB, and health insurance programs (as applicable) Conduct Health Insurance Enrollment as a Certified Navigator and attend required Navigator meetings Complete monthly tracking forms for patients assisted as a Navigator Enroll eligible patients in ADAP through Lifia and RIFAB as needed Investigate patients’ insurance benefits coverage for specialty medications requiring prior authorization Collect invoices or bills from patients in need of financial assistance per Ryan White allowable costs Care Coordination & Clinical Collaboration Collaborate within the Ryan White program team to ensure coordinated, patient-centered care Participate in HIV multidisciplinary team meetings and community partnership meetings to ensure continuity of care Coordinate with and schedule delivery of HIV medications with partnering pharmacies/specialty pharmacies Work with the clinical quality and reporting teams to ensure accurate lab tracking and obtain outside results as needed Assist with Telephone Encounters for the Ryan White team as needed Documentation, Data Management & Compliance Maintain accurate and timely documentation in CAREWare , the electronic health record, and other required systems Support reporting, tracking, and compliance requirements for Ryan White program standards Ensure documentation meets regulatory and program expectations Program Support, Training & Additional Responsibilities Attend conferences, workshops, state-recipient meetings, HIV Case Manager meetings, CAB events, and relevant trainings Assist with Ryan White dental team operations including training, re-enrollment, scheduling, referrals, transportation, and billing support Participate in community partner collaborations and organizational initiatives Provide additional support and complete special projects as assigned by Ryan White leadership Physical Effort/ Environment: Ability to work in a clinical and office environment, with ability to work remotely with Ryan White leadership approval Frequent use of a computer, including typing, data entry, and documentation in electronic systems Must have reliable transportation and a valid driver’s license when travel is required Ability to sit or stand for extended periods of time Occasional walking between departments, clinic areas, or community locations Ability to communicate effectively with patients, staff, and community partners in person, by phone, and electronically May require travel to other sites, community partner locations, or patient-related meetings as needed Ability to manage multiple tasks and priorities in a fast-paced environment Work Schedule Demands: Full time, 40 hours a week Location is primarily in our Woonsocket clinic, with some travel to Providence and West Warwick Communication Skills: Ability to convey information clearly and compassionately to clients, providers, and community partners, ensuring understanding across diverse populations. Ability to listen attentively, validate client concerns, and respond appropriately to foster trust, rapport, and client-centered care. Skill in adapting communication styles to meet the needs of diverse cultural, linguistic, and socioeconomic backgrounds, ensuring inclusivity and sensitivity. Ability to document timely and accurately within medical records Confidentiality of Information: Thundermist is dedicated in securing the privacy and confidentiality of protected health information under the Health Insurance Portability and Accountability Act. It is the responsibility of all employees to comply to state and federal guidelines in accessing sensitive information. Additionally, this role will have access to sensitive agency information. The incumbent must apply strict confidentiality. ADA & EEOC Statement: Thundermist is dedicated to the goal of building and maintaining a diverse and inclusive workforce committed to caring for patients in a manner that is respectful of cultural difference . We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Thundermist provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. #J-18808-Ljbffr