TITLE: Linkage to Care Specialist                         

REPORTS TO:  HCV Program Manager (RN)

LOCATION: Bronx/Brooklyn Primary Care 




The Improving Linkage and Access to Hepatitis C Care for the Mono Infected is a 5 year grant program funded by the New York State AIDS Institute. The program will operate from Brightpoint Health Bronx based health centers (Inwood Hub and Citiwide).  The goal of the program is to identify, assess and link to HCV treatment those newly diagnosed or who have not been successful in treatment previously.

The Linkage to Care Specialist, under the direction of the HCV Program Manager, will provide HCV patient educational support and care coordination to program participants. The individual will also provide direction and supervisor of Peer Educator activities.

 Essential Functions:

  • Assist in program recruitment and enrollment under the direction of the HCV Program Manager
  • Collaborate with team and clinic staff to link and coordinate health services
  • Provide continuous patient education re: healthy living, harm reduction, chronic disease management, medication management, medication adherence, and health care related issues
  • Co-facilitate evidence based patient self-management groups
  • Ensures that patients are contacted as needed to ensure retention in care. Schedule field visits, escorts as needed, and home visits to assist the patient in accessing appropriate care in the community
  • Accompanies patients to appointments when required
  • Conducts outreach and engagement activities for clients who are lost to care
  • Document all services provided in compliance with program policies and procedures


  • Excellent communication, interpersonal, organizational, and time management skills
  • Ability to work as a member of a care coordination team
  • Computer competency, including the ability to enter and access data relevant to program services
  • Motivation and self-direction; ability to prioritize competing responsibilities
  • Sensitivity to populations at increased risk for HCV transmission (through injectable drug use, exposure to an intravenous drug user, high-risk sexual activities such as commercial sex, street, and homelessness)
  • Sensitivity to ethnicity, culture, gender, sexual orientation, values, beliefs, and behaviors


Preferred candidates will have a Bachelor’s Degree in Human/Health Services or LPN with two years’ experience working with patients with HCV or other chronic disease such as HIV and an understanding of social determinant effects on chronic disease management. Knowledge of NYC supportive services support services and experience in coordinating supportive services.

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