Clinical Case Management Program Coordinator

Organizational Overview:

Prevention Point Philadelphia (PPP) is a multi-service public health organization dedicated to protecting the health and welfare of the homeless, drug users, sex workers, and the uninsured. Using a harm reduction approach, PPP offers culturally sensitive, non-judgmental services to address the health and social service needs of drug users and sex workers in Philadelphia. PPP meets people where they are, providing information and access to resources with dignity and respect. PPP promotes harm reduction through mobile medical care, sterile syringe exchange, referrals to social services, and comprehensive prevention case management services.

Program Overview:

PPP’s Clinical Case Management team consist of Medical Case Management (MCM) and Integrated Healthcare Case Management (IHCM) programs to support participants with complex medical, behavioral health, and social needs. Using a harm reduction, low-barrier approach, the programs prioritize engagement for individuals who have difficulty accessing care in traditional clinic settings, with MCM specializing in providing care for people living with HIV.

Services include care coordination, linkage to medical and behavioral health services, medication adherence support, and advocacy across clinic and community settings, with a focus on improving health outcomes and retention in care. Both programs are integrated into PPP’s clinical services.

Position Overview:

The Clinical Case Management Coordinator oversees PPP’s HIV Medical Case Management (MCM) and Integrated Healthcare Case Management (IHCM) programs, supervising a multidisciplinary team of 8 staff. This role is responsible for ensuring high-quality, participant-centered care delivery across clinic and community settings, while maintaining compliance with funder requirements and supporting integration with clinical operations.

The Coordinator leads program development, staff supervision, case reviews, team meetings, program operations, and cross-departmental care coordination for participants with complex co-occurring needs, using a harm reduction and low-barrier approach.

Responsibilities:

Staff Supervision & Development

• Supervise and support a multidisciplinary team, including case managers, data staff, and program specialists, across clinic and community-based settings.
• Provide regular individual supervision, team meetings, and case conferencing to support care planning and staff development.
• Conduct routine chart reviews and provide coaching on participant engagement, care planning, and documentation.
• Support staff through shadowing, feedback, and professional development planning.
• Manage case assignments, coverage planning, and team workflows to ensure continuity of care.
• Track team productivity and provide regular performance feedback to program staff.
• Provide all program services as necessary.

Program Operations & Care Coordination

• Work collaboratively with all members of the Prevention Point Philadelphia Team.
• Oversee case management intake and engagement process, including identifying eligible participants, outreach, enrollment, assessment, care planning, and follow-up.
• Ensure delivery of participant-centered care plans that address medical, behavioral health, substance use, and social determinants of health, while meeting people where they are.
• Support integration of case management within the primary care clinic through warm handoffs, collaborative care planning, and referral tracking.
• Coordinate re-engagement efforts for participants who are newly diagnosed with HIV or lost to care by collaborating with internal and external partners.
• Maintain and strengthen relationships with hospitals, managed care organizations (MCOs), and community providers to improve access and continuity of care.
• Facilitate interdisciplinary case conferences to coordinate care for high-need participants.
• Manage all other aspects of program operations.

Documentation, Compliance, & Reporting

• Ensure timely, accurate, and compliant documentation across all required systems, including assessments, care plans, referrals, and follow-ups.
• Monitor documentation quality and completeness through routine reporting and chart audits; support staff in addressing gaps.
• Oversee program compliance with funder requirements (e.g., Ryan White, MCOs), including reporting, audits, and site visits.
• Collaborate with internal teams and funders to meet data, billing, and programmatic expectations.
• Work alongside Clinical Operations Manager to oversee workflows, documentation practices and staff performance as it relates to appropriate delivery and documentation of billable services.

Direct Service & Clinical Support

• Provide direct support in clinic and community settings, including participant advocacy, appointment escorts, and care coordination, as needed.
• Assist with urgent operational needs such as triage support, follow-up, and re-engagement efforts.
• Support staff in crisis response, including de-escalation and care planning for participants with acute behavioral health needs.

Additional Responsibilities

• Meet regularly with funders and external stakeholders.
• Attend mandatory trainings.
• Support coordination of care across internal programs and external providers, ensuring smooth transitions and follow-up.
• Use data to conduct quality improvement efforts.
• Take on other relevant duties and responsibilities as programs grow and change.
• Perform other duties as assigned.

Qualifications

• Commitment to harm reduction, trauma-informed, participant-centered care.
• Bachelor’s degree preferred
• 2–3+ years of in-person case management/care coordination; HIV services and/or complex care experience strongly preferred.
• Minimum of 1 year of supervisory experience.
• Strong documentation, organization, and communication skills.
• Cultural competence required.
• Must be comfortable on public transit. Driver’s license is a plus.
• Knowledge and experience of social service resources with an understanding of behavioral health issues
• Knowledge of and experience working with persons experiencing homelessness, substance use, and mental health issues
• Commitment to a harm reduction philosophy including meeting people where they are and creating a safe, non-judgmental environment
• Ability to use harm reduction approach with staff and participants

Skills:

• Skilled in communicating effectively with a variety of people of different backgrounds.
• Strong computer and professional writing skills.
• Ability to use a harm reduction approach with people who use drugs and engage in sex work.
• Dynamic, creative, flexible, able to learn and adapt to a changing environment.
• Ability to work independently and as part of a team.

Other Requirements: 

• This position includes the normal physical demands of a community-based health program, including lifting/moving up to 25lbs, bending, and carrying. Other physical requirements include walking and standing for long periods and sitting for up to 30 minutes
• This position requires outreach and a level of comfort taking public transportation with a participant.
• This position is exempt from the overtime provisions of the Fair Labor Standards Act

Job Type: Full-time

Pay: From $58,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

People with a criminal record are encouraged to apply

Application Question(s):

• Do you feel comfortable working in Kensington?
• What is your direct experience working with people who use drugs, are experiencing homelessness, or have complex medical/behavioral health needs? Be specific about your role.
• Give a brief example of how you “met someone where they were at” when their goals didn’t align with medical recommendations.
• Describe a time you had to address a performance issue with a staff member. What was the issue and what did you do?

Experience:

• supervising: 1 year (Preferred)
• case management: 2 years (Preferred)

Work Location: In person