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.