Be a part of driving healthy change in our communities

Position Summary

The Social Worker (MSW, LMSW) provides a wide range of psychosocial services to patients referred by Legacy providers, including but not limited to: case management, linkages to care, patient advocacy, and psychological and social support.

Essential Duties & Functions

• Work within the context of a primary care medical home, applying a team-based approach to care while working in partnership with patients/families to promote: timely access to care, understanding of patient care that is culturally sensitive and language appropriate, continuity of care, and the improvement of the whole-person through the teaching of appropriate self-management skills. 
• Identify and screen individuals who have been 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/requested.
• Conduct outreach to new patients/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.
• If Social Worker is seeking Clinical Supervision additional duties will be as follows:
  • Maintain a direct patient care caseload within the Behavioral Health department, which will include the assessment, diagnosis, and treatment of clients with clinical needs, including conducting appointments in both individual and group settings.
  • Meet with LCSW Supervisor on-site for Clinical Supervision sessions as per the Texas State Board of Social Work Examiners requirements.
• Taking 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.

• fellow employees to ensure a professional, responsible and courteous environment.
• Promote effective working relations and works 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, but not limited to: safety trainings and education sessions on Universal Precautions.
• Must be able to travel between locations as needed.
• May support Walk-in Behavioral Health/Social Work patients, as needed.
• Maintain work area and equipment in condition required by Legacy standards.
• Conduct additional training, as determined by Legacy requirements.
• Performs other duties as assigned.

Requirements

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

• 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.

• Frequently required to sit; stand, and walk.
• Frequently required to talk and/or communicate both expressively & receptively.
• Occasionally required to lift and/or move up to 25 pounds.
• Occasionally required to bend, twist, climb, and reach.
• Moderate concentration/intensity, which includes prolonged mental effort with limited opportunity for breaks.
• Normal memory, taking into consideration the amount and type of information.
• Moderate level of complexity for decision making.
• Must be able to handle normal levels of intensity.
• Normal time pressure of decision-making.
• Use of personal vehicle to travel to meetings, trainings, and other community events throughout the local service area. Mileage reimbursement is provided.
• Ability to work full time on a regular schedule.

About Legacy Community Health

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information. 

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to >50 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Benefits

• Medical, Dental, and Vision insurance
• Long-Term Disability insurance
• Life insurance and AD&D
• 403(b) retirement plan
• Employee Assistance Plan
• Subsidized gym membership
• 24-hour travel assistance
• Paid Time Off 
• PTO Exchange Program
• Company holidays (9 days + 1 floating day)
• Bereavement Leave
• And more

Legacy Community Health is an Equal Opportunity Employer that welcomes and encourages diversity in the workplace.

Apply today.

Our short application process takes less than 3 minutes on your phone, tablet or computer.