Dr. Abrams-Downey is the medical director of the HIV outpatient clinic and chief of HIV Medicine at Albany Medical Center. She and the team of nurses, social workers, and doctors at the HIV outpatient clinic provide comprehensive HIV care, which includes HIV-specific and primary care services for people with HIV.

Additional clinic services include gynecology care for people with HIV, post-exposure prophylaxis for those exposed to HIV, and pre-exposure prophylaxis (PrEP) prevention services for those who are at risk of HIV. The clinic also offers free rapid HIV testing, mental health services to assist people dealing with the emotional and psychological impact of living with HIV, substance abuse counseling, education on sexually transmitted infections (STIs), and case management services, including assistance with housing, transportation, and food security.

Prior to joining Albany Medical Center, Dr. Abrams-Downey served as assistant professor in the Division of Infectious Diseases at Icahn School of Medicine at Mount Sinai in New York City, where she was also medical director of the Morningside Clinic in the Institute for Advanced Medicine, providing care for over 1,500 people with HIV.