• Accompaniment to medical, social service, housing and legal appointments and debriefing with patients after visits and updating HIV team and collaborating agencies as needed.
• Active follow-up on client referrals to a wide range of support services (including residential treatment programs, housing, and food programs, etc.).
• Field-based outreach and other activities to locate patients who may be out of care, or at high risk of disengaging from care. Outreach may be conducted with other team members including HIV nurses, and medical case managers. Outreach sites will include streets, shelters, patient homes, AIDS service organizations, hospitals, residential treatment programs, and other locales as needed.
• Co-create Individual Service Plans (ISP) with clients as well as with input of the multidisciplinary HIV team, monitor implementation of ISP and document updates in electronic medical record.
• Ensure linkage to emergency psychiatric services when necessary; assist with care coordination during discharge planning for patients in an inpatient setting at local hospitals.
• Provide advocacy for patients involved in the criminal justice system, assist patients in reconnecting to care in the post-release period.
• Provide motivational interviewing and harm reduction counseling for patients with substance use disorders, as well as for those engaging in other high-risk behaviors.
• Work with team to identify potential candidates for linkage and retention intervention; as well as to identify patients who are ready to transition from the ARCH program to traditional medical case management.
• Document all client interventions/activities and referrals in electronic medical record and CareWare; complete all reporting duties as required by grant agencies, and other reports as requested. Fulfill all mandatory reporting duties as required by MA regulating agencies.
• Participate in weekly multidisciplinary Patient Care Meetings and monthly HIV Team meetings as well as attend Team Huddles as appropriate; attend weekly BHCHP Behavioral Health Team Meetings and participate in intra-agency committees.
• Provide documentation for grants, projects, etc. as directed by the Supervisor.

• Associate’s, or bachelor’s degree in a related field and/ or equivalent to two years relevant human services experience.
• Experience and interest in working with people living with HIV, in addition to experiencing homelessness and struggling with substance use disorders and mental.
• Experience with harm reduction, trauma informed care, related services, and community resources.
• Strong organizational, interpersonal and communication skills.
• Experience with electronic health records and quality improvement processes is desired; computer proficiency.
• Experience in trauma informed care, motivational interviewing, and harm reduction frameworks is desired.
• Comfort working in outreach settings (street, shelters, etc.).
• Bilingual English-Spanish preferred.
• Demonstrated interest in working with vulnerable populations, and those with active substance use disorder and mental illness.
• Interest and willingness to work in multidisciplinary team setting.
• Commitment to equitable and culturally appropriate care for a wide range of diverse populations, including (but not limited to) communities of color, LGBTQ communities, non-English speaking populations, people with histories of incarceration, people with substance use disorders and behavioral health challenges, and people experiencing homelessness.

• The compensation starts at $22.07 per hour and increases with years of experience.
• BHCHP full time employees are eligible for our competitive time off policy of 4 weeks’ vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of seven thousand five hundred dollars added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.

Does this amazing opportunity interest you? Then we'd love to hear from you.

As an Equal Opportunity Employer, BHCHP pledges not to discriminate against and encourages those from underrepresented and underserved backgrounds to apply, particularly Black, Indigenous, and People of Color (BIPOC), LGBTQIA identifying, first generation college students and adults without a college degree, Bilingual and Bicultural persons; and individuals from low economic backgrounds.

Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.