Position Description

Medical Case Manager

Summary of Responsibilities


Provide disease management services to individuals living with HIV/AIDS. The ideal candidate will be compassionate, creative, energetic, knowledgeable, resourceful, and reliable. The Medical Case Manager works within a team-oriented environment to help clients access and adhere to medical care, improve medical outcomes, and increase client self-sufficiency.

Specific Duties & Responsibilities:

  1. Medical and Psychosocial Case Management assessment and follow-up (including medication adherence and primary medical care retention, Mental/physical health status, activities of daily living [ADL]);
  2. Create, follow-up, and revise individualized client Care Plans;
  3. Provide client education around health literacy, medical adherence, and risk reduction; may include accompanying clients to medical appointments;
  4. Assist clients with accessing other ASHWell agency services;
  5. Offer education, information & referral & assistance in accessing network of community resources/services (to address assessed needs listed above) with the overall goal of increasing access and adherence to primary HIV medical care and improving client self-sufficiency and disease self-management;
  6. Identify potential barriers faced by current clients and address as needed;
  7. Maintain documentation (ARIES database & paper forms/files);
  8. Participate and facilitate intra- and inter-agency case reviews as needed to maintain continuity of care;
  9. Act as primary liaison between ASHWell Case Management program and area HIV medical providers;
  10. Administrative duties as required to fulfill above responsibilities.



  • Masters degree in social work; license preferred
  • 1-3 years experience in human/social services
  • Interviewing and assessment skills (strong ability to listen without judgment);
  • Cultural awareness & sensitivity;
  • Knowledge of/ability to research available community resources;
  • PC (Windows, Word, Excel, Access) and internet proficient; and
  • Excellent written and verbal communication skills.