The SRO Outreach Project works with homeless and formerly homeless people with HIV/ AIDS and seeks to connect them to medical services and stabilized housing; The Care Coordination Redesign Program (CCR) employs a navigation model and a chronic care model to advocate for, communicate with, and identify resources for the client as well as encourage and support clients to gain and maintain independence in their healthcare to ensure improved client health outcomes and improved quality of life

We are currently seeking a Patient Navigator

• Responsible for direct, field-based services to enrolled consumers.
• Responsible for supporting the implementation of a comprehensive Service Plan for each enrolled consumer.
• Assists consumers with securing services for housing, medical care, nutrition and transportation. Assists consumers with relevant applications and other paperwork for benefits and support services. Conduct regular social services and benefits re-assessments and follow ups.
• Visit enrolled consumers between regular clinic visits to reinforce treatment plans, provide appointment reminders, provide individual health education curriculum, coordinate transportation and health care needs and other follow up activities as warranted.
• Accompany consumers to all primary care, specialty care and other health care appointments. Accompany consumer to other social service appointments as warranted.
• Provide field-based Directly Observed Therapy (DOT) Services to consumers assessed to require this service. DOT includes observing and recording patient medication intake, compliance levels and assessing and reporting any side effects.
• Provide critical feedback to the other members of the health care team based on observations in the field.
• Record all service provision on Field Logs (or “mappings”) for submission to the Data Entry Specialist on a daily basis.
• Facilitate groups for CCR consumers.
• Document all services in AWARDS Case Management Software.
• Collect and record Primary Care Status Measures data as assigned.
• Participate in daily planning meetings with SRO Intervention Project Team. Periodic participation in team meetings, case conferences, division meetings and trainings as required
• Participate in Services for the Underserved Quality Assurance/ Quality Improvement activities
• Reports to the Program Director in the absence of the CCR Supervisor.

• Minimum Associates Degree.
• Minimum one year of experience in case management or an outreach program
• Experience working with people living with AIDS, homeless people or substance users encouraged.
• Bi-lingual Spanish encouraged 

Effective August 30, 2021, unless granted a reasonable accommodation for disability, all new hires must show proof of vaccination against the COVID-19 virus.  If hired for one of our city sponsored programs, this requirement must be met by your date of hire.

Join a team of employees who cares about the wellbeing of others.  We believe in fostering a culture built on our core values:  respect, integrity, support, maximizing individual potential and continuous quality improvement. 

S:US is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals.

Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical/Dental/Prescription/Vision/Life Insurance; 403(b); Credit Union; FSAs; Short-and-Long-Term Disability; Transportation Plan; Generous Paid Vacations and Holidays