Services
Comprehensive Care Management
Our highly skilled staff incorporates clinical and nonclinical resources and needs into the development of a member's care plan related to physical and developmental health, mental health, substance use disorder, long term services and support, and social detriments of health. We work with members to assess risks, needs, goals and preferences, and collaborate with members as part of our care management process.
Care Coordination
Lead Care Managers will work directly with members and their support system to coordinate care with primary care providers, specialists, and behavioral health providers. Our social services liaison will help guide members to ensure that they receive the appropriate community resources.
Health Promotion
Providing services to encourage and support lifestyle choices based on health behavior, with the goal of supporting member's ability to successfully monitor and manage their health. Working with members to identify and build on resiliencies and potential family or community supports.
Transitional Care
We specialize in transitioning our members safely and easily between different levels of care (hospitals, long-term care facilities, transportation needs, home safety evaluations, medical supplies and social service support) in order to reduce avoidable hospitalizations and improve.
Member and Family Support
Our Lead Case Managers serve as the primary point of contact for the member and their chosen family/support persons. We identify supports needed for the member to manage their condition and assist to access needed support services.
Community and Social Services
We determine appropriate services to meet the needs of members including services that address social detriments of health, housing, and other social support services.
“One of the most important things you can do on this earth is to let people know they are not alone.”
―Shannon L. Alder