The Housing and Health Coordinator serves people living with HIV and vulnerable HIV negative persons to improve access to needed services by providing guidance and assistance. The Housing and Health Coordinator is part of the Connect 2 Care Team that works to engage multiple systems of care to provide an integrated and coordinated approach to improve overall medical and behavioral health outcomes for people living with HIV and highly vulnerable HIV negative persons. The Housing and Insurance Coordinator is part of a team that consists of medical and non-medical care staff and may be required to work non-traditional business hours to meet the demands of this program. Together they will be addressing the multiple barriers to accessing or staying retained in medical care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Manage an assigned caseload of clients requiring Housing and Health Navigation in order engage in, remain in, and support adherence to biomedical care (HIV Care or PrEP) related to HIV Prevention.
Provide crisis prevention and intervention services for unstably housed and homeless community clients.
Meet with client walk-ins needing immediate housing services.
Assist clients in the community (non-HAP, TBRA or Trust Fund) on a short-term basis to obtain and maintain safe affordable housing or to navigate current housing options available.
Provide on-site Insurance Navigation, in coordination with the Care Team that includes identifying medical insurance needs and conduct enrollment and re-enrollment (e.g., Medicaid redetermination) efforts where applicable; discuss insurance plan options that best align with the client’s specific needs
Identify housing resources and provide support with completing applications
Support the Care Team with developing a Care Plan with the client, and monitor client’s progress towards meeting the established goals of care.
Create and maintain resource and referral networks.
Document activities regularly in progress notes and enter client data and information in database.
Maintain client files in accordance with the standards established by Chicago House and Social Service Agency
Provide ongoing and professional communication with clients’ treatment providers (e.g. Infectious Disease provider, social worker, medical case manager), including participating in case conferences.
Ability to build relationships and networks with other CBO’s and medical facilities.
Utilize harm reduction, trauma-informed, and LGBTQ affirming strategies in working with clients.
Adopt and implement continuous effective engagement strategies throughout intervention period, such as texting and home visits, to maintain client’s participation in program and evaluation activities.
Assess client need and interest in receiving ancillary services, such as Ryan White or DRS Case Management, behavioral health, and facilitate referrals via the Care Coordinator
Collaborate with testing, linkage, and retention staff and interns in the ongoing development and evaluation of the Connect 2 Care program, including providing feedback to the Linkage to Care Program Manager on aspects of the intervention that are/are not effective, and the co-creation of intervention tools such as assessment forms and participant handbooks.
Attend trainings to build competency around areas such as HIV/AIDS treatments and care, cultural competency in serving transgender and gender non-conforming individuals, retention-in-care strategies, harm reduction, and trauma-informed interventions.
Participate in bi-weekly Connect 2 Care staff meetings, as well as monthly H.O.P.E Department staff meetings and other agency-wide meetings when appropriate.
Meet weekly with Program Manager for administrative and clinical supervision.
Perform other duties as assigned.
Demonstrates experience providing direct clinical services with highly vulnerable, difficult-to-engage populations is required.
Bachelor’s degree in social work, counseling or related field strongly preferred, or equivalent training and experience.
Knowledge of local housing resources and program requirements preferred
Knowledge of Medicaid and ACA required
Strong leadership, communication, organizational and interpersonal skills with a diverse range of individuals, organizations, and communities required.
Familiarity with harm reduction, LGBTQ affirming, and trauma-informed philosophies of care strongly preferred.
Ability to work outside of regular business hours
Willingness to travel throughout the Chicago metropolitan area required; ownership of a vehicle with valid Illinois driver’s license and insurance preferred but not required.
Internal Number: HHC 10082019
About Chicago House and Social Service Agency
Chicago House was founded in 1985 by a small group of community activists who saw that their friends and family members were losing their homes due to the financial, social and medical challenges associated with HIV/AIDS.
To provide community-based housing and supportive services responsive to the changing needs of individuals and families living with HIV/AIDS.
All Chicago House services are provided without discrimination, and are explicitly designed to respect and preserve the dignity and independence of all clients.