Clinical, Medical, & Case Management Services Provided

● Clinical and Medical Case Management Services.

● Health assessments and evaluations.

● Coordination of medical appointments and specialist care.

● Medication management and reconciliation.

● Monitoring treatment adherence and progress.

● Discharge planning and transition of care.

● Chronic disease management (e.g., diabetes, hypertension).

● Communication with healthcare providers and insurance companies.

● Assistance obtaining durable medical equipment (DME).

● Preventive care coordination (immunizations, screenings).

● Behavioral Health and Substance Use Services.

● Substance abuse counseling coordination.

● Mental health referrals and follow-ups.

● Crisis intervention and stabilization planning.

● Support for psychiatric medication management.

● Coordination with detox, residential, or outpatient programs.

● Relapse prevention and recovery support.

● Family education and support services.

●Social and Community Support Services.

● Housing placement and stability assistance.

● Food, clothing, and transportation resources.

● Assistance applying for benefits (e.g., Medicaid, SNAP, SSI/SSDI).

● Coordination with community-based organizations.

● Employment readiness and job placement referrals.

● Education and vocational training referrals.

● Legal advocacy and referrals.

● Administrative and documentation services.

● Intake and assessment documentation.

● Progress notes and case summaries.

● Development and updates of care plans.

● Record keeping and confidentiality compliance (HIPAA).

● Tracking outcomes and service metrics.

● Interdisciplinary team meeting participation.