Harbor Health Services, Inc.

Financial Planning and Analysis

• Provides ongoing support to eligible clients living with HIV/AIDS in the Boston Eligible Metropolitan Areas
• Works closely with the Social Worker and Program Manager, Housing and Emergency Financial Assistance to help clients sustain affordable, long term housing and obtain short-term emergency financial assistance
• Provides housing search and advocacy services to Harbor’s Medical Case Management clients
• Assists with developing and implementing larger housing search and advocacy service efforts within the community
• Assists the Social Work and Program Manager with reviewing and processing rental assistance and emergency financial assistance applications
• Works with housing and emergency financial assistance clients to identify and address barriers disrupting stable housing and emergency needs and coordinates care with and refers clients to appropriate community agencies and medical case management to address these barriers
• Collaborates with medical and other staff to develop and implement patient care plans via multidisciplinary case conferences and individual provider meetings
• Accompanies Harbor’s Medical Case Management clients to housing related appointments
• Assists with developing and implementing expanded Housing Search and Advocacy services to the greater Boston community
• Performs program outreach activities and presents housing and emergency financial assistance program information with the Social Worker and Program Manager
• Assists with preparation and co-facilitation of Housing and Emergency Financial Search groups and participates in consumer engagement activities
• Contributes to coalition building activities with other Ryan White-funded housing and emergency financial assistance organizations
• Assists in regularly reviewing, revising and updating program forms
• Assists the Social Work and Program Manager with gathering data and compiling reports for the Ryan White Program
• Assists in the collection and maintenance of demographics and service utilizations and other pertinent data for grant and contract requirements
• Assists with managing the Housing and Emergency Financial Assistance budgets, monthly outcomes reporting, policy and procedure updates
• Practices under DPH, HRSA HAB, and BPHC case management standards of care
• Timely and accurately records necessary and pertinent documentation in client’s medical record
• Implements quality improvement strategies
• Participates in annual Part A BPHC Site Visits, and HRSA Site visits

Housing & Emergency Financial Assistance Coordinator

Client Services Representative

• Provides Intake, Assessment, Individual Service plans and ongoing case management for patients living with HIV/AIDS.
• Practices under DPH, HRSA HAB, and BPHC case management standards of care and periodically evaluates and ensures that standards are met.
• Regularly assesses case management services and identifies areas of growth and improvement.
• Coordinates health and social services for clients.
• Evaluates progress toward service plan goals & objectives and ensures eligibility requirements are met and documented.
• Assures that clients are connected to needed community services as well as financial benefits/entitlements.
• Empowers clients for self-advocacy as appropriate.
• Assists in operation of weekly Tuesday food pantry at Daniel Driscoll Neponset Health Center between 7:30 AM and 3:00 PM a minimum of once per month.
• Additional assistance required as needed with priority availability between the hours of 7:30 AM and 9:30 AM.
• Supports food access programs including coordinating meal delivery and tracking food access support services such as grocery store gift cards.
• Actively participates in assigned continuous quality improvement activities for case management program.
• Conducts off-site client social services and health visits when appropriate.
• Establishes & maintains relationships with outside community agencies providing useful services for clients.
• Contributes to the collection and maintenance of demographic and service utilization data for grant and contract requirements as appropriate including monthly reporting.
• Collaborates with medical and other staff to develop and implement patient care plans via multidisciplinary case conferences and individual provider meetings.
• Timely and accurately records necessary and pertinent data in client’s medical record following HHSI policies and procedures.
• Engages patient to help manage appointments and referrals and maintains monthly outreach to patients for engagement.
• Attends monthly department meetings, mandatory and non-mandatory trainings, and conferences.
• Assists clients in accessing core and supportive services of medical transportation, mental health referrals, oral health care and nutrition.
• Participates in annual Part A BPHC Site Visits, and HRSA Site visits and contributes to preparations of audit.

Housing & Emergency Financial Assistance Coordinator

Client Services Case Manager