Job Openings

The Behavioral Health Specialist provides the full spectrum of case management services to clients within an assigned caseload of approximately 45-50 individuals.

This role delivers comprehensive support by assessing needs, developing individualized care plans, coordinating services, and monitoring progress to promote client well-being. This role also provides back-up clinical coverage to ensure continuity of care and seamless service delivery.

Essential Functions

• Provide comprehensive case management services to individuals and families living with or affected by HIV/AIDS.
• Assess, plan, and oversee the delivery of services to meet each client’s unique needs.
• Connect clients with appropriate medical, mental health, substance use, and supportive services.
• Attend at least one medical visit per year with each client to ensure continuity of care.
• Coordinate and oversee service delivery while supporting clients in advocating for benefits and entitlements.
• Deliver on-site case management services in clinic or hospital settings as required.
• Perform home visits to support client care as needed.
• Work in partnership with other service providers and community agencies.
• Complete timely written records of client contacts no later than two business days after interaction.
• Deliver specialized case management and advocacy for individuals living with HIV whose primary needs are related to mental health or cognitive challenges. Provide services through home, hospital, and office visits as needed. Assist clients in navigating social service and other systems, offer information and referrals, coordinate necessary services, and conduct monthly follow-up and monitoring. Reassess client needs regularly to ensure appropriate and effective support.
• Provide MH/ID expertise through consultations, evaluations, and training for staff and volunteers to enhance service delivery for clients supported by other case managers.
• Partner with providers to design and implement effective discharge and home care strategies.
• Complete required paperwork for client interactions and referrals in accordance with established Direct Service policy deadlines.
• Maintain documentation of client interactions in accordance with the minimum contact standards and timelines outlined in the Direct Service Policy and Procedure Manual.

Job Summary

The Perinatal HIV Case Manager provides comprehensive case management services to a caseload of approximately 35–40 HIV-positive clients, including pregnant individuals, in both clinical and office-based settings. This role is integral to efforts aimed at reducing vertical transmission of HIV by coordinating care, supporting treatment adherence, and ensuring timely access to prenatal and HIV-related services. The Case Manager works collaboratively with HIV and OB providers, as well as other program staff, to deliver high-quality, client-centered care as part of the Direct Services team.

Essential Functions

• Serve as the medical case manager for individuals, pregnant women, and families impacted by HIV/AIDS, providing comprehensive support across clinical and community settings.
• Conduct needs assessments and develop, implement, and monitor individualized Service Care Plans tailored to each client’s circumstances.
• Connect clients to appropriate medical, mental health, housing, immigration, legal, substance use, and social support services.
• Coordinate and monitor service delivery, assisting clients in advocating for entitlements and public benefits, including prescription and utility assistance programs.
• Provide on-site case management in clinics and hospitals as needed to support continuity of care.
• Advocate proactively for clients, utilizing all available resources to address barriers and support access to care.
• May be responsible for creating and maintaining resource lists relevant to perinatal and HIV-related services.
• Attend a minimum of five perinatal medical appointments, one postpartum visit, and two HIV specialist appointments per client to support engagement in care.
• Conduct home visits twice annually to assess living conditions and provide additional support.
• Assist clients with transportation coordination to ensure access to essential services.
• Collaborate with external service providers and agencies, including the Department of Human Services (DHS), to ensure integrated care.
• Offer education, information, and referrals to clients and their support networks to promote informed decision-making.
• Represent the agency at community events, including outreach efforts such as baby showers, to raise awareness and connect with potential clients.
• Maintain up-to-date knowledge of resources, benefits, and entitlements to effectively refer clients and advocate for their needs.
• Achieve a minimum of 450 units of service per month (measured in 15-minute increments), meeting productivity expectations.
• Complete written documentation of all client interactions within two business days, in accordance with agency standards.
• Ability to manage a caseload of 35–40 clients, meeting service unit goals and documentation deadlines.

Position Title:                       Intake & Assessment Specialist

Reports To:                           Prison Linkage Program Coordinator

Department:                          Direct Services

Program:                               Philadelphia Linkage Program (PLP)

Status:                                   Full-time Monday through Friday, Nonexempt, Eligible for benefits

Qualifications:                      

• Minimum Bachelor’s degree, Master’s preferred, in social work or related field.
• Experience in human service delivery, case management, assessment and client advocacy.
• Understanding of the medical and psycho-social issues related to living with HIV/AIDS.
• Bi-lingual (Spanish/English) and experience in corrections a plus. Ability to work with diverse populations.
• Working knowledge of local resources. Ability to work with various professionals, including medical, non-medical, and Para-professional staff in the case management and prison system.
• Eligible to enter the correctional facilities as a contract employee.

Basic Function:                     

• Provide intake and assessment case management services to individuals currently incarcerated.
• Assess, address and provide consultation to other staff regarding prison issues on an as needed basis.
• Serve as a liaison with the staff of Prison Health Services, Corizon, Defenders Association, court officers, probation and parole offices.

Specific Responsibilities:

• Accept referrals from various sources for services to incarcerated individuals
• Perform face-to-face needs assessment.
• Complete a service care plan with the client
• Maintain accurate and timely activity logs.
• Obtain updated medical and demographic data and informed consent of each client.
• Maintain a reduced caseload and provide case management and advocacy to the HIV+ individuals who are incarcerated or have recently been released from prison. This includes being available to visit the client at the prison, home, in the hospital and office visits.
• Assist clients in negotiating, arranging and linkage to medical care, social services and other provider systems. Provide the client with information and referral, arrange necessary services. Follow up and monitor the support system on a monthly basis. Reassess client need as appropriate.
• Work with care providers in the areas of hospital discharge planning and home care needs.
• Provide specialized case management and advocacy by carrying a caseload of individuals whose primary presenting problem is being symptomatic of HIV disease and reentry to society following incarceration.
• Evaluate the need and assist clients to be admitted to substance abuse and/or mental health treatment.
• Consult with other members of Action Wellness staff including direct service staff, housing specialist, prevention case managers, volunteers and others as needed.
• Identify resources and communicate with agencies and organizations providing services to incarcerated and recently incarcerated individuals.
• Attend weekly one on one supervisory meeting.
• Participate in Action Wellness staff meetings and in-service trainings.
• Participate in required in service and off-site trainings and staff development.
• Attend a minimum of 2 medical appointments.

Position Title:   Family Medical Case Manager

Reports To:      Coordinator

Department:     Direct Services

Program:         Medical Case Management

Location:        3600 Market Street, Philadelphia, PA 19104

Status:            Full-time, Nonexempt, eligible for benefits

Qualifications:

• Degree in Social Work, Human Services, Sociology, Psychology or Nursing. Minimum Bachelor’s Degree, Master’s preferred.
• Experience in social/human service delivery.
• Expertise in case management, client advocacy, and women’s health with some supervisory experience preferred.
• Ability to work with diverse populations and with critical and emergency situations.
• Sensitive to cultural and economic differences and the concerns of women and children.
• Knowledge of local resources and service pool.
• Understanding of medical and psycho-social issues related to HIV disease and conditions specifically related to HIV positive pregnant women.
• Flexibility in work hours, including occasional evenings and weekends for annual agency events.

Basic Function:

• Provide the full range of HIV case management services to clients assigned to a caseload of approximately 40-45 clients.
• Function as a part of the Direct Services team to ensure high quality services are provided to clients.
• This position is located in West Philadelphia and outstationed approximately 2 days per week at Children’s Hospital.