Help patients with planning, facilitation, care coordination for options and services to meet an individual’s and family’s health needs through communication and available resources:
- Housing/homeless issues
- Transportation
- Medicare/Medicaid referrals and assistance
- Advanced Care Planning
- Linking patients to Domestic Violence/Sexual Assault Program
- Home Health/Nursing home referrals
- Respite and caregiver support
- Mental Health referrals
- Food Pantry Information
- Support to cope with chronic, acute, or terminal illnesses
