Case Management
Ryan White Program Enrollment
- Confirms HIV diagnosis and program eligibility (income, residency, insurance status).
- Connects eligible clients to medical care and support services.
Healthy Start Program Assistance
- Screens pregnant and postpartum individuals for eligibility (income, residency).
- Enrolls participants in prenatal and postpartum supports and referral services.
PCMH+ Coordination
- Identifies eligible patients attributed to PCMH+.
- Ensures enrollment and engagement in care coordination, care planning, and quality/outcomes tracking.
Connect Individuals to Care and Services
- Helps patients access medical care, insurance, social services, and community resources.
Provide Health Education
- Shares culturally appropriate information on health conditions, prevention, and wellness.
Support Care Coordination
- Assists with appointments, referrals, follow-ups, and understanding care plans.
Address Social Needs
- Identifies and helps resolve barriers such as transportation, food, housing, and financial challenges.
Advocate for Patients
- Supports patients in navigating healthcare systems and communicating their needs.
Offer Outreach and Engagement
- Builds trusted community relationships to reach individuals disconnected from care.
Promote SelfManagement
- Encourages healthy behaviors and supports patients in managing chronic conditions.
Make an Appointment
Case Management services are available by appointment or on a walk-in basis, ensuring patients can receive help when they need it most.
To make an appointment, please call: