In this chapter, I examine the work of HIV case managers. While individuals living with HIV have a doctor-often an infectious disease doctor-their primary source of professional support often comes from their case manager. Case management is the most fundamental means of integrating care at the client level. A case manager coordinates the various services and supports needed by the client, and also provides both emotional and tangible social supports (Dill, 2001). With clients who are HIV-positive, case managers must also educate the clients about their treatment and medications, advocate for their clients, and help them overcome barriers to care (Ross-Friend, Schuster, & Sherry, 2011). Cunningham, Wong, and Hays (2008) found that having a case manager signifi cantly improved physical health for a nationally representative sample of HIV-positive clients receiving care in the HIV Costs and Services Utilization Study.