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CARE MANAGEMENT | HCR HOME CARE - PLATTSBURGH OFFICE

Care Management services for Adults and Children who have physical and/or mental health diagnosis. Care Managers will assist with scheduling appointments, arranging for transportation and will attend appointments at the clients request to help advocate for the clients wants and needs. A Care Manager for a child will work with the parents or guardian to ensure a child is safe, healthy and well cared for. We will work with providers including the schools to ensure a child's voice is heard and goals are developed to meet the child's needs.

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Jericho Road Community Health Center - Broadway Clinic

Jericho Road provides quality, full-spectrum medical care to all who need it. Both male and female physicians are available. Services at the Broadway location include: - Routine Individual/Family Care - Maternity/OBGYN Care - Children's Health - Specialized Diabetes Care - Medical Imaging (through a partnership with WNY MRI) - Behavioral Health - Care Coordination Services - Pharmacy Consultation - Medication Assistance - Assistance with applying for health insurance/health benefits - Interpretation - Comprehensive Dental Care for all ages; see separate listing for Jericho Road Family Dental - Medically Oriented Gym with Integrated Physical Therapy Services ##REENTRY##

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Wellsville Office - Catholic Charities

Provides emergency financial assistance, domestic violence offenders program, counseling, parent and child counseling services, kinship caregiver program, care coordination, food and clothing assistance, Multisystemic Therapy (MST), and referrals as needed.

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Children with Special Health Care Needs - Genesee County Health Department

Provides information, referral, and advocacy for children who may require health or related services of a type or amount beyond that typically required by children. Case management is also provided which can connect families to appropriate services in the community. Services include: accessing health insurance for the child; aid in determining if the child may be eligible for Medicaid under new State programs, or in some cases, SSI benefits; assistance in obtaining medical services or equipment at home; providing advocacy with other service providers to ensure quality of care for the child; developing a support network.

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Care Coordination - Evergreen Health

Care coordinators assist clients with: - Finding a doctor or specialist - Making sure that doctors are talking to each other and the client about their care - Advocating for the client - Helping the client understand and remember confusing information - Scheduling appointments, tests, and more - Getting care when the client is discharged from the hospital - Getting into mental health counseling or substance use programs - Finding transportation to medical appointments

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Health Home Care Management - Catholic Charities

Care Managers help identify and link clients and their families to services that can help meet their medical, social/emotional, behavioral, and basic needs. Clients are youth up to 21 years of age with active Medicaid, diagnosed with chronic physical and/or mental health conditions, HIV/AIDS, or Complex Trauma.

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Expanded In-Home Services for the Elderly (EISEP) - Niagara County Office for the Aging

Provides supportive services such as non-medical home care, personal emergency response systems, case management, and information and referral services to income eligible seniors aged 60 and older residing in Niagara County.

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Children's Health Home - Cuba - Hillside Family of Agencies

Provides Care Management services to children receiving Medicaid who have a serious emotional disturbance (SED) diagnosis, HIV/AIDS, two chronic health conditions, or complex trauma.

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Genesee Orleans County Team - Hillside Family of Agencies

Provides the following services: - Short-term Residential Services - Therapeutic Foster Care - Diagnostic Residential Services - Non-Secure Detention Services - Intensive Support Unit - Developmental Abilities Services Transitional Unit - Home and Community Based Services Waiver Program - Medicaid Service Coordination - Customized Community Services - Bridges to Health

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Family Support Services - Allegany Regional Development Corporation

Provides Family Support Services as well as Waiver Services to eligible participants. Provides Family Reimbursement, Behavior Management (not intensive), and Service Coordination and Referral. Also offers Recreation/Respite and Community Habilitation Services.

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Maternal & Infant Health Collaborative- Chautauqua County Health Department

Provides case management and prenatal/postnatal home visiting services. Utilizes trained Community Health Workers (CHW) to identify, recruit, and assess the needs of targeted women before, during, and after their pregnancy. CHWs provide women with referrals for services needed, education regarding the benefits of family planning and early prenatal care, assistance with obtaining health insurance and medical care, and follow-up to assure that services were secured. Additional services include breastfeeding support and a smoking cessation program.

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Peer Specialist Program - Dale Association

Provides assistance to individuals with mental health issues. Program will assist them in their own recovery process. Direct assistance and linkages provided.

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Pathway of Hope - Salvation Army

Provides goal-oriented, in-depth case management to assist families in overcoming barriers like generational poverty and crisis. A case manager will work with the family to create goals, connect with community resources, and celebrate successes along the way with the aim of guiding families towards self-sufficiency and financial stability.

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Evergreen Health Southern Tier

Provides care coordination, specialty and primary health care, HIV/AIDS specialty care, LGBTQ+ specialty care, STI/HCV testing, syringe exchange, buprenorphine program, and harm reduction program. Also provides linkage to mental health services, substance use counseling, housing assistance, nutrition assistance, and transportation assistance.

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Children's Health Homes - Jamestown - Hillside Family of Agencies

Provides Care Management services to children receiving Medicaid who have a severe emotional disturbance (SED) diagnosis, HIV/AIDS, two chronic health conditions, or complex trauma.

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Children's Services - People Inc.

Provides Health Home care management to individuals ages 0-21 to assist with navigating medical, behavioral, and physical health support, including medical appointment scheduling. Also offers educational support with IEP and 504 Plans, as well as assistance with transportation concerns.

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Adult Services - Community Services for Every1

Works to empower individuals with developmental disabilities, youth and adults with chronic health conditions and complex mental health concerns, and survivors of domestic violence to live as independently as possible. Adult Services include: - Day Services, including site-based day habilitation, community-based day habilitation, and Individual Retirement Experience (IRE) for those aged 50 and over - Employment Services which help develop work skills and connect people with competitive employment opportunities - Self-Directed Services, which enable individuals to make choices about their staff, supports, and services - Health Homes (comprehensive case/care management) - In-Home Services, which provide home and community-based skills and self-development training services to adults who exhibit deficits in independent living care skills, with a focus on increasing or maintaining skills to reduce reliance on family caregivers - Behavioral Services, including home and community based services, as well as behavioral intervention - Intensive Supports, which provide relief services for families - Representative Payee Services, which help people to build their financial skills with the goal of financial independence - Housing Subsidies for clients who meet OPWDD eligibility criteria - Residential Services - Transportation - Family Reimbursement Program, which assists with expenses faced by families caring for a person with developmental disabilities - Alternatives to Incarceration Program, which helps people with developmental disabilities, learning disabilities, and mental health conditions navigate the various stages of the criminal justice system - Raise the Age Services, which helps youthful offenders acquire the life skills and pro-social behaviors required to lead self-sufficient lives, gain employment, and avoid further involvement in the criminal justice system - Project C.O.A.C.H., which provides telephone counseling, referral, outreach, and intervention/prevention for individuals and families - Domestic Violence and Victim Assistance Program, which provides services to people of all abilities who are victims of any crime, specializing in people with disabilities who have experienced domestic violence

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Morlock Foundation Satellite Location - Willamsville

Works to improve quality of life for families suffering from trauma, including but not limited to disease, disability, domestic violence, fire, and loss. Provides family support, clinical support, case management, resources, education, and financial negotiations. Program does not give out funds but works with the clients in medical bill negotiations, equipment donations, prescription assistance, coordination with doctors, getting volunteers to assist at home, and obtaining grants for medical, prescription, and other needs. Services are not limited to any specific disease, disability, or age group, but are based on how trauma as affected the family unit.

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Community Support Services - Arc Erie County New York

Provides a variety of services in home and community based settings to assist with improving the quality of life for people with disabilities and their families via OPWDD and OMH. Supports include respite, community habilitation, recreation, after school programming, summer programming, broker services, early intervention services, children's mental health services, intensive parent training, children's health homes, and employment services.

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211 Caregiver Project

A caregiver navigation program providing supportive crisis counseling, care coordination, comprehensive needs assessment, linkage to community services, education, advocacy with family or service providers, development of a caregiving plan, and follow-up for caregivers. A caregiver is an unpaid individual (whose role can be that of a spouse, partner, family member, friend, neighbor, or other) who is involved in assisting another adult with activities of daily living and/or medical tasks. How caregiver navigation works: 1) Caregiver contacts 211 2) Intake and assessment 3) Service planning and education 4) Connection with resources 5) Follow-up and assessment 6) Re-engagement 7) Caregiver success Available 24 hours a day, 7 days a week. Over the phone translation available in more than 180 languages.

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