Linkage to Care Specialist

Linkage To Care Specialist

Under the administrative supervision of the Director of Transgender Health Programs, the Linkage to Care Specialist is responsible for conducting required screenings as part of the regular course of general care, conduct a service needs assessment, and link the target population, to the appropriate services including a warm handoff to the PRIME and Behavioral Health programs. This position will also conduct assessments and program intakes as required to meet program objectives and support the team to achieve program goals. The grant period is 11/1/27 - 5/30/27 and may or may not continue after.

Performs a combination, but not necessarily all, of the following duties:

• Provide PrEP, PEP, STI and other risk-reduction education to patients at risk for HIV
• Provide medication adherence education
• Act as main point of contact for patients seeking to make initial appointments for HIV prevention services or HIV prevention services
• Act as liaison between HIV Specialist and patients
• Work with interdisciplinary team to provide comprehensive care to people at risk for HIV/AIDS
• Provide follow up calls and appointment reminders for patients with HIV prevention medical visits
• Coordinate medication refill assistance, including, but not limited to, patient assistance program applications, liaise between patient and specialty pharmacies, contact HIV specialist for patient medication refills, etc.
• Link patients to appropriate internal and external services as necessary
• Screen patients for appropriate benefits and refer to benefits counselor if necessary
• Provide HIV prevention education to patients in need of psychosocial and/or socio-economic support
• Conduct referrals as needed based on the assessment in program intake
• Conduct basic needs assessment
• Assess and reassess patients' medical adherence and determine patient's need for biomedical interventions
• Discuss other HIV prevention options
• Assist with housing placement as applicable
• Compose correspondence.
• Assist with collecting information for and completing program reports.
• Create and maintain program files and records.
• Attend program related meetings for or in place of Program Director.
• Perform other duties as directed by Transgender Health Program Director.

Responsibility to Team – actively support assigned team/department by participating in and supporting all team/departmental initiatives, proactively communicating with supervision, meeting assigned goals and objectives, and committing to embracing process improvement initiatives.

Responsibility to Organization – actively support SJCH by consistently meeting St. John's Mission, Vision, and Values; modeling positive interactions with patients, staff, and community; keeping informed of internal (e.g., policies and procedures) and external (e.g., legal or political matters) which may affect business.

Additional Duties – as assigned.

For Grant Funded Positions – if position is grant funded, grant specific duties which may be in addition to the above are attached with employee attestation herewith.

St. John's Community Health is an Equal Employment Opportunity Employer.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education & Experience

A minimum of 2 years' experience working with transgender individuals in a social service agency or health center setting.

• High School diploma or equivalent, Bachelors preferred.
• Ability to work effectively with a multi-disciplinary team.
• Excellent facilitation, written and verbal communication skills.
• Transgender-affirming and knowledgeable about the population of focus.
• Comfortable initiating internal/external outreach and program coordination activities.
• Strong interpersonal and communication skills.
• Excellent time management and organizational skills.
• Ability to multi-task and work effectively in a time-sensitive environment.
• Demonstrate ability to anticipate needs and solve problems, prioritize conflicting demands, follow up on tasks and meet deadlines with minimal supervision. Excellent word processing skills with MS Word, Excel, Internet Explorer and Outlook; ability to create programmatic materials.

Additional Requirements:

• Reliable transportation and flexibility to travel between Los Angeles, San Bernardino, and Riverside Counties as needed.
• Flexibility to work evenings and weekends as needed for community events.