Coordinator, Linkage-to-Care - Department of Internal Medicine

Coordinator, Linkage-to-Care - Department of Internal Medicine Wayne State University is searching for an experienced Coordinator, Linkage-to-Care - Department of Internal Medicine at its Detroit campus location. Wayne State is a premier, public, urban research university located in the heart of Detroit, Michigan where students from all backgrounds are offered a rich, high-quality education. Our deep-rooted commitment to excellence, collaboration, integrity, diversity and inclusion creates exceptional educational opportunities which prepare students for success in a global society. Essential functions (job duties): Job Purpose The Linkage-to-Care Coordinator is responsible for ensuring timely linkage, engagement and retention in care for individuals newly diagnosed with Human Immunodeficiency Virus (HIV) and syndemic-associated conditions, as well as those re-engaging in HIV care. This role serves as a vital connector between testing sites, clinical providers, public health partners, and community-based organizations to close gaps in care and improve health outcomes. This position ensures patient-centered navigation, care coordination and follow-up services while addressing barriers such as insurance, transportation, stigma, and broader social determinants of health. This role supports syndemic-focused public health and clinical goals by promoting rapid connection to treatment, continuity of care and sustained engagement in prevention and treatment services. This position collaborates with Disease Intervention Specialists, Patient Advocates, and Patient Financial Counselors to ensure the effective coordination and delivery of patient care services. Provide direct supervision and performance management for the Medical Case Manager, Outreach Representative, HIV Prevention Specialist, Patient Advocate, and Peer Navigation Specialist, including hiring, onboarding, coaching, training, performance evaluations, and corrective action as needed. Foster a collaborative, high-performing team environment that supports program goals and quality outcomes. This position reports to the Director, Adult HIV Program.

Essential Functions Linkage-to-Care and Navigation:

Coordinate timely connections to medical care for individuals by scheduling initial appointments, facilitating referrals, and supporting rapid initiation treatment when indicated, including navigating available support and assistance programs.

Patient Engagement and Follow-Up:

Conduct outreach and follow-up with clients to support engagement and retention in care, including appointment reminders, re-engagement efforts and coordination of follow-up testing and treatment milestones. Ensure individuals are successfully linked to care and remain engaged in ongoing treatment and disease management based on individual clinical needs and condition.

Collaboration and Supervise:

Collaborate with Disease Intervention Specialists, Patient Advocates, and Patient Financial Counselors to ensure effective coordination and delivery of patient care services. Provide direct supervision and performance management for the Medical Case Manager, Outreach Representative, HIV Prevention Specialist, Patient Advocate, and Peer Navigation Specialist, including hiring, onboarding, coaching, training, performance evaluations, and corrective action as needed.

Care Coordination and Referrals:

Collaborate with medical providers, case managers, Disease Intervention Specialists, Patient Advocates, and community partners to address medical and non-medical needs, including insurance enrollment, transportation, housing, behavioral health services, and substance use support.

Data Documentation and Reporting:

Accurately document linkage activities, outcomes and client interactions in electronic health records, surveillance systems, or program databases, ensuring compliance with grant, clinic, and public health reporting requirements. Collaboration with

Public Health and Clinical Partners:

Serve as a community outreach liaison between public health agencies, hospitals, urgent care facilities and community health organizations to ensure seamless transition of services, information, and continuity of care.

Health Education and Client Support:

Provide basic health education to clients regarding treatment, prevention, and partner services, using trauma-informed, culturally responsive, and stigma-reducing approaches to support understanding and engagement in care.

Quality Improvement and Program Support:

Participate in continuous quality improvement activities to identify gaps in linkage processes, enhance outcomes, and support program goals related to syndemic care. Provide reports to quality team and actively engage in program-wide quality improvement initiatives. Perform other related duties as assigned.

Unique duties:

Qualifications:

Education:

Bachelor's degree Bachelor's degree from an accredited college or university in a public or community health-related field. Master of Public Health with emphasis on epidemiology and public health clinical practice preferred.

Experience:

Experienced (minimum 2 years of job-related experience) Experience working in an urban environment. Experience working in Sexually Transmitted Infections (STI), HIV, tuberculosis, viral hepatitis, or other public health programs. Prior supervisory experience preferred. Bilingual or multilingual abilities preferred. Familiarity with Health Resources and Services Administration (HRSA) Ryan White

HIV/AIDS

program services, Disease Intervention Services, and surveillance systems. Experience with care coordination, case management, or patient navigation. Experience working with populations impacted by HIV/, STI, tuberculosis and viral hepatitis.

Knowledge, Skills, And Abilities:

Knowledge of HIV, syphilis, tuberculosis, and hepatitis C transmission, treatment, and prevention. Understanding of connection to care, retention and re-engagement strategies and related clinical quality performance metrics. Familiarity with healthcare and public health systems. Strong interpersonal and communications skills with diverse populations. Organizational and time management skills to manage multiple clients and priorities. Documentation and data entry skills. Ability to work collaboratively with multidisciplinary teams across multiple entities. Ability to build rapport and trust with clients using a patient-centered approach. Ability to navigate complex systems and advocate for client needs. Ability to maintain confidentiality and comply with HIPAA and public health regulations. Ability to work independently and as part of a team.

Preferred qualifications:

School/College/Division:

H06 - School of Medicine Primary department: H0609 - Internal Medicine Employment type: Regular Employee Job type: Full Time Job category: Staff/Administrative Funding/salary information: Compensation type: Annual Salary Hourly rate: Salary minimum: $59,000.00 Salary hire maximum: $69,000.00 Working conditions: This position operates in a hybrid clinical and community-based setting, including office environments, healthcare facilities, and outreach locations such as community organizations or client residences when appropriate. May be required to travel locally to conduct outreach and support service coordination. Exposure to emotionally challenging situations, including discussions related to chronic illness, stigma, trauma, and health disparities. Flexibility in scheduling may be required to meet client and program needs, including occasional evenings or weekends.

Job openings:

Number of openings: 1 Reposted position: No Reposted reason: None (New Requisition) Prior posting/requisition number: Background check requirements: University policy requires certain persons who are offered employment to undergo a background check, including a criminal history check, before starting work. If you are offered employment, the university will inform you if a background check is required.