Bilingual Medical Case Manager - Ryan White

legacycommunityhealth; Houston (TX); On-site; USD 54,000 - 72,000; Full time

Benefits offered by this job

Paid Time Off & Holidays

Medical, Dental, Vision & Life

FSA

403(b) Retirement Plan with Company 4

Disability insurance

$0 Copay for Legacy Provider visits

$0 Copay for Legacy Pharmacies

Travel Insurance

Subsidized Gym Membership

And much more!

Job summary

Legacy Community Health in Houston is seeking a Medical Case Manager for the Ryan White program to deliver psychosocial support and advocate for HIV+ patients. You will coordinate access to medical and social services and help patients navigate complex care networks.

The role requires LMSW in Texas, excellent communication, and travel between locations as needed. Join a team focused on compassionate, patient-centered care and professional development.

Qualifications

• Master's degree in social work is required.
• Texas LMSW is required.
• Experience with HIV social services or related populations is preferred.
• Excellent communication and customer service skills.
• Proficient with electronic health record systems and case documentation.

Responsibilities

• Identify and screen HIV+ individuals to address social service needs.
• Provide information and referrals for medical and psychosocial linkages.
• Advocate to reduce service gaps and promote adherence to care.
• Assist patients in reconnecting with essential medical services when lost to care.
• Maintain documentation to meet program standards and timelines.
• Travel between locations to ensure access to services.
• Participate in community meetings and ongoing training.

Skills

LMSW (Licensed Master of Social Work)

Bilingual English/Spanish

Communication skills

Multitasking

Customer service

Education

Master's degree in social work

Tools

EHRS

Job description

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!

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

Medical Case Manager - Ryan White (Job Overview)

Schedule: Monday-Friday (8AM-5PM)

At Legacy Community Health, we truly understand that healthcare is about building relationships and making meaningful impacts in the lives of our patients. As the Ryan White Medical Case Manager, you will play a vital role in transforming the lives of our HIV+ patients by providing a supportive and compassionate approach to case management.

In this role, you will have the opportunity to:

• Provide crucial psychosocial services to individuals in need.
• Advocate for patients and promote their adherence to medication and care.
• Collaborate with a dedicated team committed to fostering independence and enhancing overall health.
• Engage in meaningful professional growth through ongoing training and development.
• Create lasting change in your community and celebrate the achievements of your clients.

Key Responsibilities

• Identify and screen HIV+ individuals to address their social service needs.
• Provide information and referrals to ensure seamless medical and psychosocial linkages.
• Advocate for clients to ensure they have a voice and work to reduce service gaps.
• Support patients who have been lost to care in reconnecting with essential medical services.
• Adhere to healthcare standards, including DSHS Texas HIV Management Standards.
• Collaborate with patients to complete Comprehensive Assessments and Individualized Care Plans.
• Maintain accurate documentation to meet program standards.
• Participate in community meetings and training sessions for continuous learning.
• Monitor service effectiveness alongside peers and supervisors.
• Update electronic health records within 72 hours of providing services.
• Contribute to Legacy’s Performance Improvement and Quality Assurance Program.
• Show respect and compassion towards patients and team members, fostering a supportive professional environment.
• Work collaboratively to achieve departmental goals.
• Travel between locations as needed to ensure accessibility for all clients.
• Embrace a team-based approach in facilitating comprehensive patient care.
• Take on additional responsibilities as assigned to further our mission.

Minimum Qualifications

• Master's degree in social work is required.
• Current Texas Licensed Master of Social Work (LMSW) is required.
• All licensed professionals must maintain their professional licenses as defined by their respective Texas licensing/examining boards.
• One year of case management experience with people living with HIV and/or persons with a history of mental illness, homelessness, or chemical dependence is required.
• A degree in health, human or education services is strongly preferred.
• Excellent communication skills and customer service skills.
• Requires a working knowledge of community resources and treatment issues related to HIV.
• Must be able to manage multiple deadlines and prioritize.
• Demonstrated competency with an EHRS system.
• Ability to multitask in a fast-paced environment.
• Above average organizational skills.
• Strong typing and computer skills.
• Must be able to travel between locations as needed.
• This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
• Bilingual (English/Spanish) is preferred. If the employee is bilingual, then they must have written and verbal fluency in English and Spanish.
• Experience working among the gay, lesbian, bisexual and transgender community is preferred.

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.