Website Hektoen Institute LLC
Under the supervision of the Site Team Leader, the Early intervention/Outreach Specialist (EIS) will provide enhanced care coordination services to patients/clients living with and affected by HIV/AIDS. Will work with the community, agency, and individuals by identifying, linking with, engaging with, and assisting individuals living with HIV in Chicago’s Austin and Greater Westside communities. The EIS will promote awareness of HIV status and re-engage/retain patients in care met through field and community activities in Austin as well as other CCHIP sites. EIS will coordinate social media activities with other Austin CBC Initiative team members. The EIS will also assist with community-based outreach and HIV screening and refer HIV-positive patients to HIV primary care/other support services and HIV-negative patients to PrEP services. EIS will maintain current knowledge base of HIV transmission, treatment, and disease; interpretation of HIV tests and lab results; and other related HIV issues, including topics relevant to the Chicago Area HIV Integrated Services Council (CAHISC). The EIS will work closely with the Austin CBC Initiative, Austin Health Center Providers and Site Team Leader to ensure proper continuation and expansion of PrEP patient navigation and adherence counseling program at Austin. EIS will conduct telephone consultations, office visits, home visits, referrals and case conferencing to patients on the margin of care and lost-to-care. Appropriate specialty care referrals will also be made on the behalf of the clients, externally and internally. EIS will assist with client eligibility verification and assist clients with enrolling into Medical Case Management. The Specialist will participate in administrative meetings and staff development meetings, representing health promotion and prevention issues, activities, goals and outcomes. EIS will work with the site Peers.
- Have a case load of 20 to 25 Austin CBC patients who require Early Intervention Services (EIS)
- Participates in CCHIP Domain 1 and 2 meetings, activities and program planning.
- Identification of “On the Margin” patients who need partner services.
- Conducts outreach, including home visits to lost to care and on the margin patients, recruitment, counseling, and risk reduction counseling on at risk populations.
- Conducts linkage to care, health education/literacy assessment, specialty care referrals and enrollment and eligibility verification activities on newly diagnosed persons and or out care persons.
- Organize testing events and perform POC rapid HIV testing, pre/posttest counseling at fixed and community sites throughout The Cook County Health System.
- Work with community organizations, establish partnerships and provide community HIV testing and referrals.
- Refers vulnerable HIV population to PrEP services with in the CCHIP program
- Identifies PrEP eligible clients and links them to appropriate services.
- Provides education about Post-Exposure Prophylaxis (PEP), and other effective biomedical and prevention interventions; refers eligible, interested clients to primary care medical services at CCH sites to further discuss PEP and other preventive care with an Austin CBC medical provider.
- Facilitation of non-medical case management wo and documentation
- Provide education about re-engagement services, supportive services; refer eligible, interested clients to primary care medical services at CCH sites to further discuss retention to care, viral suppression and other preventive care with an Austin CBC medical provider.
- Conduct individual sessions with individuals newly diagnosed with HIV
- Able to comprehend and articulate the “treatment cascade” to patients and providers
- Community case finding activities, including outreach and home visits
- Provide patient, provider, and community education on HIV and related topics
- Work closely with other agency programs and staff to address needs of community, agency, and grant scopes
- Develop and coordinate linkage agreements and service delivery with external community-based organizations.
- Engage newly diagnosed and/or lost-to-care patients into primary care
- Complete and maintain all required documentation in accordance with agency, local, state, and Federal guidance.
- Participate in pre-clinic case conferences and planning with care coordination team in person or by phone.
- Enters client encounters and services delivered into the Care Ware System/Provide® and electronic medical record as prescribed under this enhanced care coordination model.
- Make referral and linkages to HIV medical care, assist client with gathering necessary.
- Eligibility documentation for Ryan White services (including but not limited to Identification and/or birth record documents, residency documentation and income Verification).
- Under the supervision of the Site Team Leader, conducts retention, makes appointments and appointment reminder calls.
- Works some nights and weekends at Outreach/Testing events.
- Other duties as assigned
High School Diploma or equivalent is required, Bachelor’s degree in a health-related field preferred, one to two years of experience as an HIV related educator or outreach worker preferred. Knowledge of and experience in HIV care and support services and/or a similar or related field preferred. Knowledge of HIV Prevention and Education and HIV Testing & Counseling preferred. Experience working with diverse populations, including: MSM, those recently released from incarceration, sex workers, individuals of extremely low income, substance users and/or those in recovery, and homeless individuals a plus. Ability to work within a multicultural and multidisciplinary team. Strong oral communication skills, including experience conducting presentations and group interventions. Ability to meet deadlines. Must have a valid driver’s license, car insurance and a functional vehicle and ability to access suburban sites. Comfort and ability to go into the community, including home site visits. Personal experience and knowledge of south suburbs is beneficial.