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Linkage to Care Coordinator

Position Overview

The Linkage to Care Coordinator (LTC) works to establish services for individuals with HIV/AIDS who are not in treatment. They collaborate with local, state, and federal agencies providing services to at-risk communities and healthcare organizations.  Additionally, the LTC facilitates access to treatment, advocates to eliminate ethnic and racial disparities in services, and increases community awareness of the Linkage to Care Program. The service area includes Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Somerset, Washington, and Westmoreland counties. The position reports to the Director of Client Services and will work collaboratively with other Client Services and Clinic staff, local AIDS Service Organizations, the Allegheny County Jail, and a multitude of other agencies. 


To improve health and well-being, Allies provides integrated medical care, supportive human services, and community-based education for individuals living with, or at risk of HIV, viral hepatitis and sexually transmitted infections.


Allies envisions a healthier community whereby people access integrated medical care and supportive human services in a respectful setting, free of stigma and discrimination.


  • Identify and engage individuals with HIV/AIDS from at-risk communities who are not receiving medical care
  • Build rapport and foster trust with individuals to maintain retention in medical care, adherence medical treatment plans, ongoing assessment, and counseling
  • Monitor, evaluate, and record client progress according to measurable goals described in Minority AIDS Initiative (MAI) guidelines
  • Utilize techniques and principles of Harm Reduction, Motivational Interviewing, and Trauma Informed Care to support clients
  • Link client to community resources to provide access to services such as medical, mental health, drug & alcohol, financial assistance, government programs, legal aid, housing, transportation, job placement and education
  • Advocate to reduce barriers to health care for clients of color
  • Provide basic HIV health education and risk reduction
  • Participate in Ryan White and MAI Regional Collaborative
  • Accompany clients to medical and social service-related appointments
  • Communicate and collaborate with interdisciplinary professionals, treatment teams, and other Linkage to Care staff to evaluate and assess client’s needs
  • Treat all clients with dignity, respect, and unconditional positive regard – regardless of criminal history, substance use, sexual or gender identity, ethnic or racial background
  • Establish and maintain timely follow-up with clients, referrals, and coordination of care
  • Record all client interactions and services in electronic case management system
  • Completes all administrative paperwork according to Allies’ guidelines for billing, reimbursement, and reporting
  • Provide feedback to improve client services
  • Evaluate outcomes by measuring, tracking, and analyzing results

Organizational Expectations

  • Seek out up-to-date information about Allies’ programs and services, as well as relevant local, regional and national health statistics that will inform and support our Mission
  • Improve job knowledge by remaining aware of new regulations and best practices; participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
  • Embrace and exemplify organizational standards and guiding principles for processes, protocols, and utilization
  • Commit to Allies’ promise to sustain and extend diversity, equity, and inclusion
  • Contribute to efforts which build and reinforce Allies’ distinctive, effective, and ethical practices

Knowledge, Skills, and Abilities

The LTC should have demonstrated experience in the following areas:

  • Working with clients from diverse backgrounds
  • HIV epidemiology, treatment, and care continuum
  • Interviewing clients to gather information and assess backgrounds, needs, or progress to develop and manage services
  • Working with a multitude of agencies to coordinate treatment and referrals
  • Drug & Alcohol service coordination and care
  • Mental Health service coordination and care
  • Basic knowledge of local legal justice systems and related resources
  • Integration of care for chronic health conditions
  • HIPAA and Act 148 standards
  • Writing service notes in electronic health record system
  • Balancing and prioritizing patient and administrative responsibilities
  • Knowledge of local social service agencies, resources, and referrals

A Bachelor’s Degree in social work or similar area is preferred; an MSW is preferred.  A minimum of two years of experience working with communities of color to provide case management, the management of chronic medical conditions, and/or support in coordinating services from multiple providers and agencies.

The LTC must have a current driver’s license, auto insurance, and access to a reliable personal vehicle.

The LTC will be called upon to engage in physical activity related to general office work including the capacity to lift 10 lbs. and stand or sit for extended periods. Current PA child abuse, PA criminal history, Federal criminal history clearances, and verification of TB test performed within the last year are required within the first 30 days of employment.

People of color with relevant experience strongly encouraged to apply!