Medical Case Manager - Ryan White
About the role
Location: Legacy Montrose - 1415 California St. Houston, TX 77006
Join our family as a Ryan White Medical Case Manager and help HIV-positive patients access the care, resources, and encouragement they need to move toward greater independence and improved overall health. In this meaningful role, you will work closely with Legacy providers, patients, families, and community partners to provide compassionate psychosocial services that address both medical needs and everyday challenges. Your work will help patients remain connected to care, navigate available services, overcome barriers, and build confidence throughout their healthcare journey. If you are a caring professional who believes every person deserves respectful, coordinated, culturally sensitive support, this is an opportunity to make a lasting difference in community healthcare.
Your Impact Support HIV-positive patients through case management, care linkages, patient advocacy, medication and visit adherence assistance, and psychological and social support. Help patients who have been lost to care reconnect with medical services and continue moving forward. Partner with patients and families to promote timely access, continuity of care, appropriate self-management, and whole-person health. Work within a primary care medical home and contribute your perspective to a collaborative, team-based care environment. Help identify and reduce service gaps so patients can access medical, psychosocial, and basic-needs resources.
A Collaborative Opportunity Build meaningful relationships with patients, families, Legacy providers, peers, supervisors, and community organizations. Contribute to quality assurance and performance improvement efforts that strengthen patient services. Continue growing your skills through required training, ongoing education, community meetings, and professional collaboration. Serve patients across locations as needed, including travel between Houston and Beaumont.
Responsibilities
- Identify and screen HIV+ individuals who have been referred for social service needs by Legacy providers
- Provide information, referrals, and assistance