Health Homes
Our mission is to provide case management to individuals with chronic medical and/or behavioral health conditions. Oversight and care coordination reduces unnecessary emergency department visits and inpatient stays by assisting individuals access the health care they need.
Services
- Comprehensive care management
- Care coordination and health promotion
- Comprehensive transitional care from inpatient to other settings, including follow-up
- Individual and family support
- Referral to community and social support
- Use of health information technology to link services
Eligibility
- Comprehensive care management
- Care coordination and health promotion
- Comprehensive transitional care from inpatient to other settings, including follow-up
- Individual and family support
- Referral to community and social support
- Use of health information technology to link services
Staff
Case managers help people access services to stay healthy by scheduling doctor appointments and transportation and making calls for specialty care. They coordinate with other human service agencies to avoid duplicating services.