Case Manager

Ryan White Case ManagerAbout the RoleWe're seeking a compassionate and resourceful Case Manager to support individuals living with HIV through patient-centered care coordination and advocacy.In this highly collaborative, patient-facing role, you'll help patients navigate healthcare systems, overcome barriers to care, and stay connected to the medical and supportive services they need to thrive. You'll build meaningful relationships with patients while working closely with providers, behavioral health teams, pharmacies, and community organizations.This position supports patients enrolled in the Ryan White HIV/AIDS Program-a federally funded program that helps individuals living with HIV access medical care, medications, and essential support services that improve health outcomes and long-term wellness.If you're passionate about health equity, care coordination, and helping underserved populations access high-quality care, we'd love to meet you.What You'll DoPatient Engagement, Case Management & Re-Engagement

Provide comprehensive non-medical case management to patients living with HIV, helping identify and address barriers to care such as housing instability, transportation, food insecurity, behavioral health needs, medication access, insurance concerns, and financial challengesBuild trusted relationships with patients and provide ongoing support to promote engagement in care and treatment adherence.Conduct proactive outreach and engagement, including wellness checks, to support patients at risk of falling out of care and assist with re-engagementAssist 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 APRIFacilitate and track referrals to ensure patients attend appointments and receive necessary servicesAssist 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 maintainedEnroll and support patients in ADAP, RIFAB, and health insurance programs (as applicable)Conduct Health Insurance Enrollment as a Certified Navigator and attend required Navigator meetingsComplete monthly tracking forms for patients assisted as a NavigatorEnroll eligible patients in ADAP through Lifia and RIFAB as neededInvestigate patients' insurance benefits coverage for specialty medications requiring prior authorizationCollect 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 careParticipate in HIV multidisciplinary team meetings and community partnership meetings to ensure continuity of careCoordinate with and schedule delivery of HIV medications with partnering pharmacies/specialty pharmaciesWork with the clinical quality and reporting teams to ensure accurate lab tracking and obtain outside results as neededAssist 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 systemsSupport reporting, tracking, and compliance requirements for Ryan White program standardsEnsure 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 trainingsAssist with Ryan White dental team operations including training, re-enrollment, scheduling, referrals, transportation, and billing supportParticipate in community partner collaborations and organizational initiativesProvide additional support and complete special projects as assigned by Ryan White leadership

What We're Looking ForRequired Qualifications

Valid Driver's License & Reliable TransportationBachelor's degree in a healthcare, social work, public health, human services or related field (or equivalent experience)2+ years of experience in case management, care coordination, or social servicesExperience working in healthcare settings and multidisciplinary teamsStrong communication skills and comfort with medical terminologyCommitment to patient-centered care and serving diverse, underserved populations

Preferred Qualifications

Experience in an FQHC or ambulatory care settingFamiliarity with the Ryan White HIV/AIDS ProgramHIV or Behavioral Health Case Manager Certification (or willingness to obtain)Bilingual or multilingual skillsExperience with quality improvement initiatives

Schedule & Locations

This is a full time, 40 hours/week position.Location is primarily in our Woonsocket clinic, with some travel to Providence and West Warwick

Benefits at Thundermist Health CenterFull-Time Employees Working 40+ Hours/Week

Health, Dental, and Vision InsuranceLife Insurance ($75,000) and Long-Term Disability - at no costFlexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)Retirement Plan with 1:1 employer match up to 4%Critical Illness, Accident Insurance, and Hospital IndemnityWellness Reimbursement up to $200/yearPTO starting at 22 days, increasing with tenure, plus 6 paid holidays

Work Environment

Combination of clinical, office, and occasional remote work (with approval)Travel between sites and into the community as neededRegular computer use and documentationRequires reliable transportation

Our ValuesEverything we do at Thundermist is guided by five core values: Integrity, Innovation, Excellence, Community, and Caring. If those resonate with you, you'll feel at home here.

Ready to join a team that truly cares?Apply today.Thundermist Health Center is an equal opportunity employer.We prohibit 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.