Care Coordination

Our Goal and Purpose

The Care Coordination Department offers a variety of evidence-based services and interventions to coordinate care for members. Our team of Case Managers, Medical Social Workers, and Health Care Guides help to ensure services are coordinated for the member across the healthcare continuum through the use of an Individualized Care Plan (ICP) and member-centric goals.

We meet our goals through the following services:

• Basic Population Case Management
  

• Transitional Care Services
  For members that have had a hospital stay and have recently been discharged

• Complex Case Management (CCM)
  

• Transportation Services. View the member-facing Transportation Services webpage for more information on how we help our members get to their appointments.
  

• Whole Child Model (WCM). View the member-facing WCM webpage to learn more about how the WCM program helps our members get California Children Services (CCS).
  

​Resources for Providers

To contact the Care Coordination Department and refer by telephone, please call (800) 809-1350.

Car​e Coordination Email/Fax Referral Form

Click here to download​ the Care Coordination Referral Form 

For Lake, Marin, Mendocino, Napa, Solano, Sonoma, and Yolo Counties, complete the form and send with pertinent health records by securely faxing to
(707) 863-4502 or securely emailing  to: CCHelpDeskSR@partnershiphp.org​.