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Medical Case Manager – HIV

Published
May 15, 2025
Location
Austin, TX

Description

About the Organization  

ASHwell is a nonprofit, sexual health clinic and social wellness center established in Austin, TX in the late 1980s. Clinically, we specialize in HIV treatment and prevention, Hep C treatment and STI treatment and management. Socially, we specialize in providing programming, resources and services to overcome barriers to health access with the goal of building Health Equity in Austin and Central Texas. ASHwell prioritizes providing a safe, welcoming and discrimination-free space for all, predominantly serving LGBTQIA+ and BIPOC communities. Our approach to sexual health and wellness is rooted in being a proudly sex and kink positive, pro-sex worker, pro-harm reduction and anti-stigma organization that is passionately committed to diversity, equity, and inclusion. We are a growing organization looking for values-aligned, pro-sexual health and wellness people to join our team! 

 

Position Overview:  

The HIV Medical Case Manager will provide comprehensive, trauma-informed medical and social service coordination for ASHwell’s patients and referred clients living with HIV. Their work measurably improves health outcomes through intensive medical case management, health systems navigation, and integration of social services within our sexual health and wellness framework. The HIV Case Manager collaborates with an internal multidisciplinary team and external partners to ensure comprehensive, culturally competent care that aligns with the organization’s mission and values. They help coordinate care, provide navigation for social support services, educate on health management, and act as advocates in clinical, social service and public system settings. They maintain consistent and reliable communication to build a relationship of trust. The HIV Case Manager enters, tracks and reports data regularly and manages their time effectively. 

 

Core Responsibilities: 

Case Management - 40% 

Provide 1:1 culturally competent, trauma-informed, and client-centered support 

Conduct biopsychosocial assessments to identify client needs, strengths, and goals 

Develop individualized care plans focused on medical stability, social stability and mental health and wellness. 

Establish milestones for care plans and prepare tokens and acts of recognition for stability and improvement throughout care plan 

Coordinate and monitor care plans in collaboration with clients and providers. 

Conduct outreach and follow-up to engage clients who are lost to care or newly diagnosed. 

Perform on site assessment and registration with ASHwell on Wheels (mobile medical unit) as needed via program partnerships 

Schedule / reschedule in-office and home visit patient-client appointments in a timely manner 

Educate clients on HIV health management, treatment adherence, and their rights within the healthcare system 

Use motivational interviewing and evidence-based practices to support behavior change and long-term health engagement 

Support health literacy, self-advocacy, and independence among clients 

Medical Care Coordination - 30% 

Facilitate access to medical treatment for comorbidities related to HIV not provided by ASHwell 

Review and understand lab results via integrated care team case rounds to develop best possible care plan 

Partner with clinical and program staff to resolve care access barriers and increase retention in care rates  

Utilize a trauma-informed and harm-reduction approach to support clients navigating chronic illness and co-occurring conditions 

Advocate for clients in clinical, social service, and public systems, promoting self-determination and dignity 

Administrative & Compliance – 20% 

Maintain accurate, timely, and compliant electronic records per HIPAA, organizational policy, and funding requirements via Apricot, Provide and Athena. 

Participate in audits, reporting, and monitoring to ensure service quality to care coordination models (e.g., Ryan White Part B/C/D, medical case management standards). 

Deliver required reports to Assistant Director in a timely manner 

Maintain updated, verified documentation across work scope 

Participate in and prepare for interdisciplinary case round meetings 

Review and respond to voicemails daily with a consistent 24 hour or less response time  

Baseline – 10%  

Participate in all required staff meetings and retreats 

Maintain up-to-date calendar and work plan 

Utilize organization wide systems and protocols for all organizational business 

Identify and request professional development opportunities related to Social Work and HIV preventative services 

Participates in at least one outreach event monthly 

 

About You: 

ASHwell’s HIV Case Manager is a detail-oriented initiative taker who thrives in a culturally sex positive and kink loving space. They are excited to be part of the movement to End the HIV Epidemic and are familiar with the social and medical issues faced by people living with HIV.  They are friendly and personable with an optimistic and contagiously helpful attitude. Our HIV Case Manager understands the intersecting needs of people living with HIV and can intuit what resources, services and programs will help reduce and eradicate their barriers to staying in care.  They can connect their role and its responsibilities to the bigger picture of ASHwell’s mission.  

Required Qualifications

2+ years' experience serving marginalized communities OR lived experience 

2+ years' experience in medical case management 

1+ years' experience working or volunteering in a nonprofit setting 

Excellent written and verbal communication skills 

Prior experience with medical and/or case management software and platforms 

Demonstrated understanding of trauma informed approach  

Excellent written and verbal communication skills. 

Knowledge of local resource landscape   

Prior experience & ability to research and identify available community resources 

Knowledge of adjustment to medical diagnosis and chronic disease 

Prior experience with psychosocial diagnosis 

Experience conducting Motivational Interviewing (MI) 

Experience in solution focused interventions 

Experience with crisis intervention 

Proficiency in Microsoft Office Suite (Teams, Word, Excel, OneDrive, PowerPoint). 

Lives in Austin, TX or within the greater Austin Metro Area or within 50 miles of ASHwell headquarters at 3800 Red River 

In depth understanding of gender and sexual orientation spectrums  

High comfort level working in a pro-pleasure, pro-sex, pro-kink and pro-queer environment 

Baseline understanding of Harm Reduction and need for HIV de-stigmatization  

Alignment with ASHwell values of race and gender justice, sexual and reproductive health equity 

Preferred Qualifications: 

Licensed Master Social Worker (LMSW) in the State of Texas OR Associate Degree in Social Work or other social service/science  

+ 2 years case management experience 

Prior experience with Ryan White Part B/C/D, medical case management standards 

Bilingual in English and Spanish  

LMSW specific course work 

Mental Health First Aid certified 

2+ years prior experience related to sexual health 

Proficiency with case management software solutions 

Proficiency working with electronic medical record platforms 

Experience working or volunteering in HIV/STI prevention, care, or education or other community health programs 

Experience in a sex-positive / sexual health setting 

 

Our Hiring Process

The start date for this position is July 23, 2025 Applications are due no later than midnight CT on June 6, 2025. We are committed to offering the support, time and resources necessary to on-board and orient to the role.   

 

 

TIMELINE 

Applications Due June 6, 2025.
Invitations to interview:Interviews will be scheduled on a rolling basis based on application submissions.
Round 1 Interviews: week of June 2, 2025.
Round 2 interviews: June 9, 2025.
Final interviews: June 16, 2025. 
Goal date for offers: June 19, 2025.
Position start date July 23, 2025.

ASHwell uses a cohort onboarding model. The start date kicks off three days of group orientation for hires across the organization. 

 

 

EQUAL OPPORTUNITY EMPLOYER

As an Affirmative Action and Equal Opportunity Employer, ASHwell is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ2SAI communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodation to access job openings or to apply for a job is available.