Linkage to Care Specialist

St. John's Community Health; Los Angeles (CA); On-site; USD 52,000 - 76,000; Full time

Job summary

St. John’s Community Health in Los Angeles is seeking a Linkage to Care Specialist to conduct required screenings and needs assessments, linking the target population to HIV prevention and behavioral health services.

The role includes warm handoffs to PRIME and Behavioral Health programs and supporting program goals during the grant period. The position requires at least 2 years of experience with transgender individuals in health or social services, strong communication, outreach, and

Qualifications

• Minimum 2 years’ experience working with transgender individuals in a social service agency or health center setting.
• High School diploma or equivalent; Bachelor’s preferred.
• Ability to work effectively with a multi-disciplinary team.
• Excellent facilitation, written and verbal communication skills.
• Transgender-affirming and knowledgeable about the population.
• 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.

Responsibilities

• 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.
• 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 with patient and pharmacy coordination.
• 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 needing psychosocial and/or socio-economic support.
• Conduct referrals as needed based on program intake assessment.
• Conduct basic needs assessment.
• Assess and reassess patients’ medical adherence and 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.

Skills

Interpersonal skills

Communication skills

Teamwork

Time management

Program coordination

Outreach

Problem solving

MS Word

Excel

Outlook

Internet Explorer

Education

High School diploma or equivalent

Bachelor's degree preferred

Tools

MS Word

Excel

Outlook

Internet Explorer

Job description

Job Summary

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.

Essential Duties And Responsibilities

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

Job Summary

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.

Essential Duties And Responsibilities

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.
• Other duties as assigned. 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.