Care Coordination Specialist

Job Title
Care Coordination Specialist
Chicago,  IL 60606
Other Location
Care Coordination Specialist
AIDS Foundation Chicago (AFC) mobilizes communities to create equity and justice for people living with and vulnerable to HIV or chronic conditions. We envision a world in which people living with HIV or chronic conditions will thrive, and there will be no new HIV cases. Our work focuses on advancing health equity, preventing new cases of HIV, serving as a collaboration and knowledge center, being a bold voice for change and strengthening our organizational excellence.

We are seeking an individual to serve as our Care Coordination Specialist. The Care Coordination Specialist is responsible for determining eligibility of clients with short term needs for Ryan White services every 6 months, at the AIDS Foundation of Chicago as well as at subcontractor agencies based in Cook County as well as the Collar Counties. The first and highest priority of the specialist is to ensure that persons living with HIV/AIDS are linked to appropriate care and provided services and referrals to stay engaged in care in order to optimize their health and well-being. The Care Coordination Specialist will manage a case load of clients and will be responsible to document all interactions in a client database.
Principle functions and responsibilities of this position include the following:

Assessments & Client Engagement
  • Conduct face-to-face and over the phone assessment and reassessments every six months to assess client needs;
  • Complete assessments with clients to identify client’s needs;
  • Ensure that all clients referred to services are eligible prior to the date of service.
Client Service Coordination
  • Refer clients to appropriate services highlighted in assessments;
  • Refer clients to more intensive case management services if needed;
  • Refer clients to other core and supportive services if determined to be necessary;
  • Complete emergency housing applications for eligible clients;
  • Complete Medication Assistance Program (MAP) applications;
  • Provide insurance benefits navigation as needed;
  • Travel to meet clients at home, clinical, or community based setting as needed;
  • Provide technical assistance to case managers in regards to the client database;
  • Compile a list of new agencies that serve persons living with HIV/AIDS and conduct outreach;
  • Distribute food vouchers and transportation cards according to eligibility and need.
Client Data Tracking and Administrative Support
  • Document encounters using designated client database;
  • Document need for Emergency Financial Assistance and Medical Transportation;
  • Identify community meeting spaces  to have client meetings that are conducive to maintaining confidentiality;
  • Collaborate with subcontractor agencies to schedule on-site assessments/re-assessments;
  • Schedule client appointments both at AFC and subcontractor agencies to complete eligibility assessments;
  • Perform record-keeping and clerical functions (e.g., scheduling, copying, faxing, data inputting, transmitting, telephoning, taking messages, responding to written and verbal inquires, etc.) for the purpose of supporting the needs of the client.
  • Assist with agency-wide activities as directed, including Annual Meeting, AIDS Run & Walk, and others;
  • Complete at least 12  designated on-going trainings annually;
  • Protect organization's value and manage risk by keeping information confidential;
  • Perform other duties as assigned.

Minimum Qualifications

Associate’s degree in a human services field OR at least one year of experience in Social Services, Health Care or related field. 

Basic knowledge of HIV/AIDS prevention and treatment.

Preferred Qualifications

Bachelor’s degree in the Human Services field (i.e., Psychology, Sociology, Public Health, Social Work).
Bilingual, Spanish-English


Strong attention to detail and the ability to provide efficient, quality service to both internal and external customers.

Solid interpersonal skills along with the ability and willingness to respect and value the differences and perceptions of different groups/individuals.

Strong written communication skills along with the ability to use various Microsoft Office and/or database programs in order to perform job duties such as generating basic reports.

Please reference position PRG CCS 409
Decisions and criteria governing the employment relationship with all employees at AIDS Foundation of Chicago are made in a non-discriminatory manner, without regard to race, ethnicity, creed, religion, color, sex, sexual orientation, gender identity or expression, age, national origin, citizenship status, military service and/or marital status, order of protection status, handicap, disability (including HIV/AIDS status), or any other factor determined to be unlawful by federal, state, or local statutes.

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