Ryan White Service Linkage Worker

Benefits

• Paid Time Off & Paid Company Holidays
• Medical, Dental, Vision & Life Insurance
• Flexible Spending Account (FSA)
• 403(b) Retirement Plan with Company Match
• Short-Term & Long-Term Disability
• $0 Copay for Legacy Provider visits
• $0 Copay for prescriptions filled at Legacy Pharmacies
• Travel Insurance & Pet Insurance
• Subsidized Gym Membership
• And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location: Legacy Montrose - 1415 California St. Houston, TX 77006

Ryan White Service Linkage Worker - Job Overview

Schedule: Monday-Friday (8AM-5PM or 9AM-6PM)

At Legacy Community Health, we believe in creating a supportive and inclusive environment where every team member can thrive. As a Service Linkage Worker, you will play a vital role in helping our patients access the care they need and deserve. This position is more than just a job; it's an opportunity to make a meaningful difference in the lives of individuals and the community as a whole.

• You will be at the forefront of connecting patients to essential medical, mental health, substance abuse, and psychosocial services.
• Your work will help bridge gaps and remove barriers, empowering clients to develop independent living skills and strategies.
• Join a compassionate team dedicated to advocacy and patient-centered care.
• Experience personal growth and fulfillment by making a tangible impact on community healthcare.
• Benefit from a collaborative work environment that values mentorship and personal development.

Key Responsibilities

• Assist patients in navigating service delivery systems and agency procedures.
• Collaborate with medical case managers and clinic staff to implement patient care plans.
• Monitor patients' progress by reviewing attendance at HIV primary care appointments.
• Ensure referral appointments are made and kept by following up with patients.
• Assist patients in obtaining necessary services such as transportation or translation.
• Conduct assessments to determine medical and psychosocial history and current needs.
• Create and manage care plans for referred patients and families.
• Provide information, referrals, and assistance with linkage to necessary services.
• Document all services provided in the EHRS client record within 72 hours.
• Advocate on behalf of clients to decrease service gaps and eliminate barriers.
• Connect with Legacy staff and providers for effective system navigation.
• Collaborate with community-based agencies to support linkage to social supports.

Minimum Qualifications

• Bachelor's Degree in social or behavioral sciences, or High School Diploma/GED with five years of relevant work experience.
• Minimum of 1-year paid work experience with Persons Living with HIV/AIDS (PLWH).
• Familiarity with Ryan White grants and services is preferred.
• Experience with EPIC systems is a plus.
• Bilingual candidates, especially those fluent in Spanish, are encouraged to apply.

About Legacy Community Health

As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you.

At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.

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