Hours: 9:00 a.m. - 5:30 p.m. M-F

Location: Gateway Medical Center


The HIV Outreach Specialist is responsible for development, management, and execution of the 2020 Ending the HIV Epidemic
– Primary Care HIV Prevention (PCHP) grant. The HIV Outreach Specialist ensures that assigned clients receive a coordinated
range of client-centered services linking clients with health care (medical/dental/pharmacy), psychosocial and other services.
The Outreach Specialist is responsible for completing biannual reassessments with clients to include completion of a care plan
in addition to seeing clients periodically to address their current needs and checking compliance to medical care and adherence
HIV medications. The HIV Outreach Specialist would be expected to manage the HIV Outreach Medical assistant, and work
collaboratively with a multidisciplinary healthcare group.

Additionally, The HIV Outreach Specialist will coordinate and manage day-to-day operation of the program, ensuring
compliance with requirements of grant. Educate and train to support integration of primary, mental and behavioral health
care and use of evidence based practice for diagnosing HIV, discussing sexual health, and management of PrEP. Coordinate
tracking patients referred for complex/specialty HIV & PrEP care to ensure continuity of care. Provide mental health services
for the prevention, diagnosis and treatment of mental, behavioral and emotion disorders in individuals, families, couples and
groups as needed. Knowledge of biological, psychological and social development theories, diversity and cultural competency,
interpersonal relationships, family group dynamics, mental disorders, additions, impacts. Provide assessments, evaluations,
diagnosis and treatment of mental health and emotional needs for adolescents and adults. Provide intervention/treatment
techniques to reduce symptoms, impairments; enhance strengths and environmental resources. Provide
intervention/treatment techniques, crisis interventions and/or referrals for outreach services, substance abuse treatment
programs, residential treatment facilities and specialty mental services, not contracted with TWPMC as appropriate. Answer
referral questions and provide adequate evaluation, diagnosis and treatment recommendations. Develop
treatment/behavioral plans with clients to enable self-management and invest in their own treatment. Consult with
Psychiatrist and Psychologist and other medical professionals to ensure best treatment outcomes. Maintain accurate and
detailed record-keeping and ensure all patients receive follow-up. Ensure all patients receive follow-up consultation by the
integration team. Work as a member of a multi-disciplinary setting and provide unscheduled services as needed. Serve as
liaison between HIV partners, funding agencies and TWPMC. Provide leadership and make recommendations on program
operations, grants (i.e. Health Homes) and changes. Champion practice transformation, monitor program
performance/outcomes and lead improvement efforts. Manage the HIV Budget and procurement for program. Oversee HIV
billing and superbill submission. Assist with the development and implementation of prevention, wellness and outreach
initiatives. Educate/train new and existing providers and staff on HIV program. Develop policies and procedures for program.
Develop and assist with grant writing, management and reporting (utilization, outcomes, etc.). Educate staff and patients on
community resources for effective patient care. Travel to all TWPMC sites and throughout the organization’s service area and
the State. Work flexible hours, including evenings and weekends as needed. Performs other duties as needed and/or assigned.


Formal education required: Bachelor’s Degree. LBSW certification from State of Michigan

Experience/skills/ability required: Minimum of three (3) years direct clinical experience, including two (2) years in case work
methodology and experience with children, adults, individual and family counseling in a health care setting. Minimum of one
(1) year of grant management experience. Minimum of one (1) year working with an HIV positive patient population.
Knowledgeable of community resources, healthcare, regulations and medical terminology pertinent to responsibilities. Work
independently with minimal guidance. Strong verbal and written communication skills. Excellent interpersonal and customer
service skills.

Further formal education which is not required but which may be desirable: Master’s Degree. LMSW certification from State
of Michigan
Specialized training and/or certification/license: Licensed by the State of Michigan. complete all required continuing education
requirements to maintain licensure.

Additional knowledge, skills and abilities which are not required but which may be desirable: Experience working in a federally
qualified health center or community health center. Prior HIV/AIDS and/or Sexual health experience. Experience working in a

Computer Skills: Word, Outlook, Excel, PowerPoint and web navigation skills.