Be a part of driving healthy change in our communities
About the Position
The Service Linkage Worker provides services within a broad range of focus areas to assist patients in accessing and adhering to care. In addition, the SLW provides services to clients who do not require intensive case management services, and these include the provision of information, referrals and assistance with linkage to medical, mental health, substance abuse and psychosocial services as needed; advocating on behalf of clients to decrease service gaps and remove barriers to services helping clients to develop and utilize independent living skills and strategies. (This is a grant funded position)
Key Responsibilities
- Assist patients in navigating service delivery systems and agency procedures.
- Work with medical case managers and other clinic staff to ensure patient care plans are implemented.
- Monitor patients' progress by reviewing attendance at HIV primary care appointments and by following up on status to ensure any referral appointments have been made and kept.
- Assist patients to obtain or arrange for services such as transportation or language/translation services to eliminate possible barriers to care.
- Conduct assessments to determine medical and psychosocial history and current service needs according to applicable standards of care or study requirements
- Create care plans for referred patients/families to provide guidance and assistance with meeting care goals.
- Provide information, referrals, and assistance with linkage to medical, psychosocial, and basic needs services
- Adapts work methods to specifically accommodate the population ' specific care needs (physical, psychosocial, cultural, age /developmental) of each patient served.
- Document service provided in EHRS client record within 72 hours
- Assist with accessing specific programs and supports to address psycho-social needs both within Legacy and in the larger community.
- Advocate for and on behalf of clients and families to decrease service gaps and remove barriers to services.
- Connect with relevant Legacy staff and providers to assist with system navigation, including Eligibility, Patient Assistance, Behavioral Health, Health Navigation, etc.
- Collaborate with community-based agencies to support linkage to social supports within the larger community
About Legacy Community Health
Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.
Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to >50 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.
Requirements
Bachelor's Degree from an accredited college or university with a major in social or behavioral sciences.
Documented paid work experience in providing client services to Persons Living With HIV (PLWH) may be substituted for the bachelor’s degree requirement on a 1:1 basis (1 year of documented paid experience may be substituted for 1 year of college) --or-- High School Diploma or GED (And) Five (5) Years paid work experience with Persons Living with HIV/AIDS
Service linkage workers must have a minimum of 1-year paid work experience with PLWH.
Knowledge of Ryan White grants and services preferred
EPIC experience preferred
Bilingual / Spanish fluency preferred
Benefits
- Medical, Dental, and Vision insurance
- Long-Term Disability insurance
- Life insurance and AD&D
- 403(b) retirement plan
- Employee Assistance Plan
- Subsidized gym membership
- 24-hour travel assistance
- Paid Time Off
- PTO Exchange Program
- Company holidays (9 days + 1 floating day)
- Bereavement Leave
- And more