Employment: AIDS Foundation of Chicago

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Intensive Housing and Health Case Manager

Job Title
Intensive Housing and Health Case Manager
Chicago,  IL
Other Location

Intensive Housing & Health Case Manager

The AIDS Foundation of 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 for an individual to serve as our Intensive Housing & Health Case Manager. The Intensive Housing & Health Case Manager provides comprehensive individualized support services using a client centered harm reduction trauma informed model for participant living in Mercy Housing Project-Base Facilities. Responsibilities include monthly home visits, accompanying participants to medical & benefits appointments and connecting participants to community base resources.

Principal functions and responsibilities of this position include the following:

Housing Case Management 

  • Conducts monthly home visits to ensure housing stability, support in development of life skills, and foster emotional support through a trauma informed approach through a strength-based approach;
  • Performs crisis prevention and interventions as needed using Harm Reduction & Trauma informed Philosophies. Documents in case notes & reports to agency supervisor critical participant issues to maximize retention;
  • Acts as a liaison between landlords/property managers. Coordination move-ins, lease renewals, inspections and eviction prevention;
  • Completes housing leasing paperwork and submits to AFC before deadlines to ensure continued housing stability;
  • Coordinates with Behavioral Health Specialist (If appropriate) to conduct a psychosocial assessment within 90 days of program intake;
  • Develops Individualized service plan in collaboration with the participants;
  • Refers and links participants to appropriate services
  • Assists participants in enrolling in public benefits such as SNAP, SOAR or employment readiness programs.
  • Assists participants in receiving timely and coordinated access to medically appropriate level of health and support services.

Health Case Management

  • Verifies enrollment in medical care or supports participants to engage in medical care by providing  information, assisting in finding medical provider or helping participants make appointment;
  • Refers and links participants to appropriate services within the system of care that promotes positive health outcomes, treatment adherence, and greater self-sufficiency. Monitors participant’s follow-through with services;
  • Coordination of medical care plan with participants primary care provider. (Case conference with participants medical provider, attending participants appointment) to ensure all participant attends a minimum of two medical appointments pre year;
  • Supports medical treatment plan by providing participants information on medication, appointment and other treatment adherence issues;
  • Provides qualified participant access to Emergency Financial Assistance (EFA) as needed to promote and maintain positive health outcomes;
  • Supports residents in developing or enhancing life skills and assists participants in increasing involvement in social and civic life;
  • Must provide eligible participant assistance in obtaining access to other public and private programs for which they may be eligible (Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient  Assistances Program, other state or local health care and supportive services, and insurance plans through the health insurance Marketplace/Exchanges).

Member of Partnership

  • Evaluates effectiveness of service plans based upon participants outcomes in the scope of work;
  • Works in collaboration with the AFC Systems Integration Team (SIT) to receive referrals for placement in the HUD supportive housing program, attends all SIT meetings to provide updates, addresses participant concerns and successes, and troubleshoots issues with peers;
  • Attends all mandated AFC/CHH training;
  • Actively participates in agency supervision.

Documentation & Recordkeeping

  • Completes case notes & services topics in Participants Track within five-business day of interaction;
  • Completes annual & six-month assessment and enter in Participants Track within five business days of completion;
  • Completes annual lease renewals and submit to AFC/CHH Payment Process by due date
  • Enters all referrals in Participants Track
  • Maintains all applicable and required documentation in participants files



  • Assist with agency-wide activities as directed, including Annual Meeting, AIDS Run & Walk, and others;
  • Protect organization's value and manage risk by keeping information confidential;
  • Perform other duties as assigned.


Minimum Qualifications:

Bachelor’s degree in Social Services or related field and 1 or more years’ Supportive Housing Case Management experience

OR 3 or more years’ Supportive Housing Case Management experience

Experience applying Homelessness and Supportive Housing concepts

Experience applying Harm Reduction and Housing First philosophies

Preferred Qualifications

1 or more years’ experience in Substance Use and Mental Health field

Experience in applying and/or interpreting the Affordable Care Act (ACA) and Medicaid services

Experience in applying Crisis Prevention, Intervention, Goal Setting, and Resolution Techniques

Knowledge, Skills, and Abilities

Knowledge of supportive housing programs (affordable housing with support services) for individuals/families confronted with homelessness and who also have very low incomes and/or serious, persistent issues that may include addiction or alcoholism, mental health, HIV/AIDS, diverse disabilities or other serious challenges to a successful life. This includes the ability to implement a Housing First model.

The ability to assess participates needs, create care plans, and follow-up in order to address barriers and ensure care is continuous and comprehensive.  This includes the ability to utilize tools (i.e., adherence counseling, risk assessment) for case management purposes.

Knowledge of the causes of homelessness, who it affects, and the factors (e.g., racial inequities, Socio Economic Status) that can contribute to an individual being homeless.  This includes the ability to understand the culture of homelessness and engage homeless or formerly homeless populations.

Exceptionally verbal communication and active listening skills.

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. 

Solid adaptability/flexibility skills and ability to follow up with clients in a timely manner.

Strong time management skills along with problem solving skills and ability to quickly and accurately process multiple types of information and/or perform mutable tasks simultaneously.   

Please reference position code PRG IHHCM 224

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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