Careers At Legacy Community Health Services

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Clinic Social Worker I

Department: Social Services
Location: Baytown, TX

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 10 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.

Job Description

The Clinic Social Worker I 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 Functions

Works 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 whom have been referred for social service needs from all Legacy service lines.

Assess each patientís 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.

Advocate on behalf of patients to decrease service gaps and overcome barriers to services.

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 CSW Team guidelines and standards to maintain accurate, timely, and consistent documentation.

Participates in Legacyís Performance Improvement and Quality Assurance Program.

Attend training by DSHS/HHSC to become certified under Medicaidís Case Management for Children and Pregnant Women Program (CPW) and maintain a caseload of CPW patients (licensed staff).

o Follow program standards and protocols, including completing Comprehensive Assessments and Service Plans with approved patients.

o Maintain paperwork and documentation necessary for program standards.

o Stay abreast of all program updates through quarterly webinars and DSHS/HHSC communication regarding program policy updates and changes.

If Clinic Social Worker is seeking Clinical Supervision additional duties will be as follows:

o Maintain a direct patient care caseload within the Behavioral Health department, which will include the assessment, diagnosis, and treatment of clients with clinical needs.

o Meet with LCSW Supervisor on-site for Clinical Supervision sessions as per the Texas State Board of Social Work Examiners requirements.

 Education & Training Requirements

  • Candidates are required to become certified to provide billable services under the DSHS/HHSC Case Management for Children and Pregnant Women (CPW) program and thus must meet all eligibility requirements of the program.
  • All licensed social workers must maintain their professional licenses as defined by the respective Texas licensing/examining boards.
  • Social workers must comply with all applicable recognitions/designations, such as the Independent Practice Recognition as defined by Texas licensing/examining board.

Work Experience Requirements

  • An LMSW is strongly preferred.  Other candidates that will be considered include: LBSW, and MSW/BSW actively working to obtain licensure.
  • One year or more of medical social work experience preferred.


  • 9 Holiday + 1 Floating Holiday
  • PTO
  • 403b Retirement Plan
  • Medical / Vision / Dental (if eligible)


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