Knowledge, Skills, and Abilities
- Knowledge of professional practice standards, ethics, and code of conduct.
- Knowledge of fundamentals, challenges and needs of vulnerable and underserved populations, specifically those at greater risk of contracting HIV.
- Demonstrate cultural humility and sensitivity in working with individuals from a variety of racial, ethnic, cultural, socioeconomic, and religious/spiritual backgrounds. This specifically includes members of the LGBTQ+ and Gender Variant/Gender Non-Conforming communities, as well as persons experiencing homelessness, and otherwise vulnerable and at-risk individuals.
- Demonstrate knowledge and application of HIV Primary Care Practice and principles and processes of Trauma-Informed Care.
- Must be comfortable with, and demonstrate confidence in, engaging patients in sensitive conversations concerning sex and sexuality, and sexual behavior and practices within the context of prevention and health promotion.
- Knowledge of medical and mental health and substance abuse diagnoses and treatment procedures services (based on experience and within parameters of license, if applicable).
- Knowledge of community resources, how to make appropriate referrals to community and other governmental agencies for services and ability to effectively coordinate those services.
- Requires independent judgment and skill in utilizing supportive, problem-solving or crisis intervention techniques when working with patients and families.
- Ability to work and communicate effectively with patients, providers, and coworkers, operating in a team-based, patient-centered environment.
- Ability to perform job responsibilities in an effective and appropriate manner according to CFHC core values and code of conduct.
- Ability to analyze, prioritize, and organize activities to meet established deadlines and to provide timely customer service.
- Ability to follow oral and written instructions clearly and precisely.
- Ability to maintain objectivity and sensitivity to persons of all social, cultural, economic and educational backgrounds
- Must be able to sit or stand for prolonged periods of time, bend, lift, and move intermittently during the work day.
- This position may require extensive travel in support of funded programs, as well as attendance at relevant program-related conferences at both the regional and national levels.
- Additional specific tasks of this position include, but is not limited to, the following:
- Support PrEP access through care coordination.
- Improve PrEP access and adherence, evaluation for co-occurring conditions, and necessary follow up.
- Support PrEP adherence through care integration and coordination support that address co-existent behavioral health conditions and social determinants of health.
- Support PrEP adherence through the provision of patient education and counseling, and collaborating with community-based organizations working with at-risk populations.
- Leverage partnerships to support data-driven quality improvement of PrEP and other prevention services through such strategies such as strengthening information exchange with health departments regarding referrals and re-engaging patients in care, and using pharmacy data on PrEP prescriptions filled to promote adherence.
- Organize and participate in community health fair events to attract and enroll community members and raise awareness of HIV, PrEP, post-exposure prophylaxis (PEP), and how to reduce HIV infection risk
Qualifications/Education Requirements
- To qualify for this position, a bachelor’s degree in social work, community health, or related social or behavioral science.
- Minimum Experience: 2 – 3 years of experience in a health care setting preferred.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying - Experience working in community and public health in the areas of STI/HIV prevention and or Persons Living With HIV (PLWH) is highly desirable.
- Required Licenses/Certifications: Licensed Social Worker, Valid Driver’s License
Core Competencies
- Works with patients and families who are experiencing a variety of psychiatric, medical, and social problems utilizing a team-based patient-centered approach.
- Evaluates patient eligibility for special populations programs by reviewing patient eligibility criteria, including but not limited to medical records, insurance status and housing status.
- Assesses the psycho/social function and needs of patients/families.
- Formulates and implements evidence-based care plans, identifying the patient’s presenting problems, strengths, weaknesses, coping skills and assistance needed.
- Provides referrals and coordinates services for both internal and external services.
- Provides mental health and substance abuse counseling services (based on experience and within parameters of license) under the supervision of an LCSW.
- Documents patient encounters within Electronic Health Record (EHR) as well as additional databases as necessary utilizing approved workflow processes.
- Participates as a part of team huddles and other clinical team meetings as needed.
- Conducts quality improvement activities.
- Compiles and provides monthly activity reports to Program Manager
