Community & Connected Care
Care Coordination & System Navigation
Helping people find the right care, make the connections they need and stay connected throughout their care journey.
Care coordination includes
- Assessing individual needs
- Developing appropriate care pathways
- Connecting people with specialized services
- Making referrals
- Warm hand-offs
- Following up on referrals
- Helping people overcome access barriers
- Coordinating health and social services
- Re-engaging people who have become disconnected from care
- Supporting continuity across providers