Social Worker (MSW/LMSW)

Legacy Community Health; Houston (TX); Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

PTO & Holidays

FSA

403(b) Match

Disability Insurance

Copay $0 for Legacy visits

Copay $0 for Legacy Pharmacies

Travel Insurance

Pet Insurance

Job summary

Legacy Community Health in Houston is seeking a Social Worker (MSW, LMSW) to support patients and families with medical, psychosocial, and basic-needs services within a primary care medical home. You will provide case management, patient advocacy, and linkages to care with compassion and respect.

Working alongside Legacy providers in a team-centered approach, you will help patients navigate care, strengthen self-management, and access community resources.

Qualifications

• MSW from a CSWE accredited program is required.
• Active licensure as defined by the Texas State Board of Social Worker Examiners is required.
• BLS/CPR certification is required.

Responsibilities

• Provide case management, linkage to care, and patient advocacy within a primary care setting.
• Collaborate with a multidisciplinary care team to support medical and psychosocial needs.
• Maintain accurate, timely documentation and participate in quality assurance initiatives.
• Travel between Legacy locations as needed and support Walk-in Behavioral Health/Social Work patients.

Skills

Communication skills

Bilingual English/Spanish

Team collaboration

Education

MSW CSWE-accredited program

Tools

Microsoft Office

Job description

Behavioral Health / Therapist - Houston, TX - Full Time

• Paid Time Off & Paid Company Holidays
• 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
• And much more!

Location: Legacy Acres Homes -3011 W Gulf Bank Rd, Houston, TX 77088

Social Worker (MSW/LMSW) - Job Overview

Schedule: Monday-Friday | Hybrid

Join our family as a Social Worker (MSW, LMSW) and help patients and families navigate medical, psychosocial, and basic-needs services with compassion, skill, and respect. Working alongside Legacy providers within a primary care medical home, you will offer case management, linkages to care, patient advocacy, and psychological and social support.

Your work will create meaningful impact in community healthcare by helping people overcome barriers, understand their care, and build the confidence to advocate for themselves. You will develop trusted relationships with patients and families while collaborating with medical professionals, community agencies, and fellow employees as part of a team-centered approach to whole-person care.

What You’ll Experience in This Role

• Make a direct difference by connecting patients with timely, culturally sensitive, and language-appropriate care.
• Support continuity of care while helping patients strengthen self-management and advocacy skills.
• Collaborate with a compassionate care team to address medical, psychosocial, and basic needs.
• Build relationships through outreach, education, follow-up, and patient-centered advocacy.
• Contribute to quality improvement, performance assurance, and accurate, consistent documentation.
• Grow professionally through required training, ongoing education, and specialized program certification.
• Support Medicaid’s Case Management for Children and Pregnant Women Program (CPW), including maintaining a caseload when applicable to licensed staff.
• Travel between locations as needed and support Walk-in Behavioral Health/Social Work patients when needed.

Key Responsibilities

• Work within the context of a primary care medical home, applying a team-based approach to care.
• Partner with patients and families to promote timely access to care, culturally sensitive and language-appropriate understanding of care, continuity of care, and whole-person improvement through appropriate self-management skills.
• Identify and screen individuals referred for social service needs from all Legacy service lines.
• Assess each patient’s medical and psychosocial history as it pertains to current service needs.
• Provide information, referrals, and assistance with linkage to medical, psychosocial, and basic-needs services as needed or requested.
• Conduct outreach to new patients and families, including follow-up on missed appointments.
• Advocate on behalf of patients to decrease service gaps and overcome barriers to services.
• Complete requests for P.A.’s to approve services, as necessary.
• Educate, support, and empower patients to learn and utilize self-management and advocacy skills in order to understand their rights, advocate for their needs, and overcome barriers to services.
• Monitor the efficacy and quality of services through periodic re-evaluation with peers and supervisor.
• Adhere to all department guidelines and standards to maintain accurate, timely, and consistent documentation.
• Participate in Legacy’s Performance Improvement and Quality Assurance Program.
• Attend training by DSHS/HHSC to become certified under Medicaid’s Case Management for Children and Pregnant Women Program (CPW) and maintain a caseload of CPW patients (licensed staff).
• Follow program standards and protocols, including completing Comprehensive Assessments and Service Plans with approved patients.
• Maintain paperwork and documentation necessary for program standards.
• Stay abreast of all program updates through quarterly webinars and DSHS/HHSC communication regarding program policy updates and changes.
• For Social Workers seeking Clinical Supervision, maintain a direct patient care caseload within the Behavioral Health department, including assessment, diagnosis, and treatment of clients with clinical needs in individual and group settings.
• Meet with the LCSW Supervisor on-site for Clinical Supervision sessions in accordance with Texas State Board of Social Work Examiners requirements.
• Take Risk Assessment calls as needed per service line directive.
• Attend one community coalition or community case management meeting monthly.
• Assist with onboarding new Social Service staff when needed.
• Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives.
• Attend required training and ongoing education offered by the agency, including safety trainings and education sessions on Universal Precautions.
• Travel between locations as needed.
• Support Walk-in Behavioral Health/Social Work patients as needed.
• Maintain the work area and equipment in the condition required by Legacy standards.
• Conduct additional training as determined by Legacy requirements.
• Perform other duties as assigned.

Minimum Qualifications

• MSW from a CSWE accredited institution required
• Active licensure as defined by the Texas State Board of Social Worker Examiners
• BLS/CPR Certification

Desirable Education and/or Experience

• Experience working with children with special needs and pregnant women

Required Knowledge, Skills, and/or Abilities

• Knowledge and adherence to the National Association of Social Work Code of Ethics
• Ability to effectively communicate with diverse patients, their family members, medical professionals and a variety of third-party stakeholders.
• Excellent interpersonal and communication skills, both verbal and written required.
• Good knowledge of Microsoft Office suite.
• Strong track-record working with community agencies and/or performing case management in clinic or other setting.
• Proven knowledge of landscape of public benefits and community resources and how to facilitate individuals’ access to those resources
• Must be able to manage multiple deadlines and decision-making responsibilities.

Desirable Knowledge, Skills, and/or Abilities

• Bilingual (English/Spanish) is preferred. If the employee is bilingual then they must have written and verbal fluency in English and Spanish.

About Legacy Community Health

The largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has delivered affordable, high-quality care for nearly 40 years across 50+ clinics in Greater Houston and the Gulf Coast. Our mission - driving healthy change in our communities - guides everything we do, and it starts with our people.

Approachable & Collaborative - Leads with humility, values diverse perspectives, and builds trust through teamwork.

Driven & Committed - Takes initiative and goes the extra mile to improve patient outcomes and drive continuous improvement.

Thoughtful Communicators - Pairs clinical/technical skill with emotional intelligence, navigating complex situations with empathy and professionalism.