Care Coordination
Our Care Coordinators provide organized, compassionate support to help clients navigate every step of their healthcare journey.
- Assess Needs: Review health history, identify challenges, and understand medical, emotional, and social needs.
- Create Personalized Care Plans: Establish goals, outline services, and coordinate next steps.
- Coordinate Providers: Ensure communication between doctors, specialists, hospitals, and caregivers.
- Educate Clients: Explain diagnoses, treatments, and medications in clear, supportive language.
- Manage Appointments: Schedule visits, testing, imaging, and follow-ups.
- Support Medication Management: Assist with understanding prescriptions, refills, and safe use.
- Connect to Resources: Link clients with home health, behavioral health, social services, transportation, and financial support.
- Advocate: Protect client rights, promote informed decision-making, and address care barriers.
- Monitor Progress: Track changes, adjust plans, and follow up after hospitalizations.
- Provide Support: Offer emotional guidance and help during major health transitions.