Care Coordination

At the heart of our work are Community Health Workers (CHWs), who build genuine, trusted relationships with the individuals and families we serve. Through these connections, CHWs identify unique needs and tailor support to help each person thrive.

CHWs serve as a vital link between clinical care and community-based services, making sure no one falls through the cracks. Many program participants face challenges such as unstable housing, lack of transportation, or difficulty understanding medical information. Our certified CHWs are here to break down those barriers and guide people toward better health and well-being.