PRIMARY RESPONSIBILITY:     To support client HIV prevention efforts across a spectrum of status-neutral services including rapid HIV and Hepatitis C testing, PrEP navigation, linkage and retention in care for youth living with HIV, and environmental prevention strategies.


  • Conducts outreach to youth living with HIV and their HIV negative partners and family members to identify youth who may be interested in PrEP.
  • Provides PrEP Navigation in-person, by telephone, and via text messages to help clients initiate treatment and maintain adherence.
  • Supports youth living with HIV to transition to the adult system of care via the transition protocol, which includes initial and ongoing assessment; individual and group education about insurance, HIV care, and adult systems of care; and facilitating meetings and initial appointments with providers in the adult system.
  • Provides HIV Prevention and PrEP information to clients and staff one-on-one and in groups to increase understanding of PrEP and help clients determine if PrEP is a viable prevention method for them.
  • Supports the implementation of environmental HIV prevention strategies. Strategies may include planning and hosting special events, peer health educator trainings, Motivational Interviewing trainings for staff, and additional interventions.



  • Plan and execute PrEP outreach at events and community meetings
  • Assist PrEP Navigation clients with insurance enrollment, referrals to medical providers, medical visit support, and medication adherence to support PrEP uptake and adherence.
  • Provide HIV and HCV rapid testing in support of PrEP navigation responsibilities.
  • Complete and maintain accurate records of all activities, including data entry in ETO, EvaluationWeb, and other reporting activities; and youth progress transitioning to adult care after exit from ACAC.
  • Link clients living with HIV and/or Hepatitis C, and high-risk negative clients, to appropriate medical and non-clinical services.
  • Collaborate with ACAC case management staff to develop the health-related goals on a client’s Individual Service Plan, with a focus on the transition to adult care.
  • Participate in weekly clinical case conference meetings at ACAC
  • Collaborate and network with community agencies and medical providers to support continuity of care.
  • Perform tasks and responsibilities in a complete and timely manner, complying with agency policies and standards and conforming to the requirements of the job.
  • Maintain a creative, team-building, cooperative approach to job performance and seek to bring a constructive, problem-solving orientation to all tasks.
  • Maintain an awareness of the agency’s mission and work to promote the positive individual and social change goals it embodies.
  • Adheres to laws regarding confidentiality and reporting requirements and maintains necessary compliance documentation.
  • Other duties as assigned



  • Must be able to work in community-based settings (shelters, drop-in centers, supportive housing, collaborating agencies and businesses, outdoors venues, community fairs, etc.)
  • Availability to work night hours and weekends as required.
  • Five finger manipulation.
  • Ability to comprehend complex materials.
  • Ability to speak and write English clearly and accurately.
  • Ability to pass DOJ clearance to work in a licensed care facility
  • Proficient in Microsoft Office Suite



  • BA degree or 3 years’ experience working in harm reduction and sexual health required; MPH or Master’s in related field preferred
  • Proof of CA HIV Test Counselor certification preferred. If not certified, achievement of certification within 30 days of offered training required.
  • Community Health Outreach Worker training and/or certification preferred



  • At least 1-year previous experience working youth experiencing homelessness in the arenas of health education, community health outreach, substance use, HIV prevention or mental health required.
  • Strong commitment to harm reduction principles.
  • Prior experience facilitating small process and/or education groups
  • Experience providing counseling, psychosocial support, and/or health services to people living with HIV and injection drug users.
  • Strong practice and capacity to work with ethnically, educationally and economically diverse staff, clients, and volunteers, informed by cultural humility and anti-oppression frameworks.
  • Experience working with gay, bisexual, queer, MSM and/or trans*/GNC young people strongly preferred
  • Must be able to work independently as well as in a team and maintain good working relationships with staff and community members.
  • Must be able to work a flexible schedule that includes regularly scheduled evenings and weekends
  • Bilingual in English/Spanish preferred


Larkin Street reserves the right to revise job descriptions or work hours as required.


Larkin Street is an Equal Opportunity Employer