Health Equity Case Manager

PRIMARY RESPONSIBILITIES: 

The Health Equity Case Manager will assist low-income individuals or families who are infected with HIV/AIDS in twenty-two southern West Virginia counties. The goal for the program is to assist participants live as self-sufficiently and independently as possible. Each person will be treated with respect and dignity.

DUTIES:

1. Conduct ongoing assessments of the housing assistance and supportive services required by households enrolled in the program. Must assure that adequate supportive services are made available to all household enrolled in the program.
2. Supportive services include, but are not limited to, health, mental health, assessment, drug and alcohol abuse treatment and counseling, day care, personal assistance, nutritional services, intensive care when required, and assistance in gaining access to local, State, and Federal government benefits and services. Supportive services should be used to complement housing assistance services (TBRA, STRMU, and PHP) and promote housing stability, but may be provided as a standalone service.
   1. Housing case management. Supportive services can pay appropriate portions of housing case management time, including costs related to:
      • Assessment of households’ housing status, primary housing barriers, and other needs;
      • Assessment of eligible individuals’ need for medical care;
      • Development of individualized housing plans and budgets;
      • Implementation and maintenance of housing plans with regular updates;
      • Coordination of referrals and services for housing, medical care, and other mainstream benefits;
      • Evaluation and reevaluation of progress made toward housing plan goals and tasks;
      • Documenting housing assistance and supportive service outcomes; and
      • Maintaining housing case notes for each household assisted.

3. Assemble physical client files after receiving all necessary documentation as required.
4. Enter and/or update client information in HMIS (demographics, income, non-cash benefits, disabilities, etc.)
5. Enter services provided to program participants into HMIS and provide copies of the financial assistance request and supporting documentation to the Finance Manager.
6. Emergency Assistance for Program Participants: Provides the participant with emergency financial assistance through a HOPWA (Housing Opportunities for People with AIDS) Grant or similar funding associated with HOPWA programming. Assistance can include rent, utilities, dental work, eye care, and medication in some instances. Covenant House also offers access to our food pantry for program participants. New clothing and transportation are available through various grants. Assistance is given after assessing the participant’s needs and financial situation.
7. Volunteers and Interns: On occasion, volunteers and college interns are part of the AIDS Program. It is necessary to train and/or supervise the volunteers and interns on a case-by-case basis.
8. Education/ Outreach:  Both are important parts in spreading the word about our program and HIV/AIDS prevention. This includes talking to congregations, staff at hospitals, social service agencies, or college campuses. Some community outreach will be included but not limited to, special events (community health fairs, testing events, WVHR Mobile Clinic, KCHD clinics, CAMC Ryan White program, etc.), and street outreach as permissible.
9. Advocacy: The case manager may need to advocate for participants when they are unfairly denied services or discriminated against. As needed, the coordinator advocates for housing for folks. This includes contacting landlords, helping participants fill out housing applications, and advising them of tenant rights. Help with completing federal, state, and local forms for food stamps, welfare, social security, etc. is also available.
10. Transportation:  Transportation is provided for medical, financial, and business purposes.
11. Basic Office Duties: Maintain program budget in accordance with program guidelines and CFO records. Work collectively with Compliance Case Manager and Health Equity Outreach Coordinator; maintain working knowledge of updated policy and procedures as applicable. Complete HMIS database trainings as required. Document contacts with and services provided to program participants via the HMIS database and each participant’s file.
12. Additional Grant(s) workload: The case manager must review and carry out the grant as it is written.
13. Work Cell: To be utilized for work purposes only. This phone will serve as a contact between program participants, referring agencies and in-house staff communications as needed.
14. Assists with special events as assigned, including but not limited to Chef’s Challenge, Adopt-A-Family, Here for Good, Canstruction, Pride, and the community garden.

QUALIFICATIONS: 

• Bachelor’s degree, advanced degree preferred and/ or a combination of experience that provides the knowledge, skills and abilities required. Training in social sciences preferred.
• Commitment to Covenant House’s Mission Statement.
• Knowledge of existing social service and housing agencies in the area served by the Kanawha Valley Collective.
• Working knowledge of Social Work values, principles, and ethics.
• Ability to effectively interact and foster rapport with a wide variety of people at once, in a manner that positively reflects Covenant House programs, personnel and policies.
• Demonstrate project management skills, including the ability to work effectively as a team member.
• Demonstrate ability to coordinate own activities; ability to manage time, evaluate progress, and adjust activities to complete work within established time frames.
• Ability to be open to new ideas, take on additional responsibilities, and work on program development.
• Maintain flexibility in scheduling.
• Proficiency with Windows applications.
• Valid Driver’s License and mode of transportation.

Please email your resume; cover letter; and three references to Briana Martin at bmartin@wvcovenanthouse.org, by midnight, April 6, 2026.