Care Coordination / Community Resources

When care gets complicated, coordination matters.

Appointments, medications, referrals, insurance rules, housing needs, and transportation barriers can become overwhelming. When available, Icare care coordination helps organize next steps and connect patients with appropriate resources.

A care coordinator and patient reviewing next steps together
Guidance • Coordination • ReferralsClearer next steps
Understanding coordination

What care coordination actually does.

Modern health care asks a lot of patients: keeping appointments straight across offices, moving records between systems, understanding referral and authorization rules, and finding help for needs no single clinic treats — housing, food, transportation, benefits. Care coordination is the work of organizing all of that so a care plan stays realistic. At Icare, coordination support is offered when available as part of outpatient care. It doesn’t replace medical or behavioral-health visits; it connects them, and it connects you to resources beyond the clinic when appropriate.

When it helps

Signs it may be time to ask for coordination help.

  • 01

    Appointments with different offices keep conflicting, lapsing, or falling through.

  • 02

    You’ve received a referral, but the next step never became clear.

  • 03

    Your records are spread across several providers and no one has the full picture.

  • 04

    Insurance, benefits, or authorization paperwork has stalled a recommended service.

  • 05

    Getting to appointments is a genuine barrier — transportation, distance, or scheduling.

  • 06

    You’re moving between levels of care and don’t want follow-up to slip through the cracks.

What care may include

What coordination support may include.

Coordination looks different for every person. Depending on your needs and current staffing, support may include:

01

Referrals made clear

Explaining what a referral is for, what happens next, and who to contact — so the step actually gets taken.

02

Records & releases

With your written authorization, requesting and organizing records so each provider works from the same information.

03

Community connections

Pointing you toward community-resource directories and organizations for basic needs, employment, or peer support when available.

04

Benefits navigation

When staffed, help understanding benefits or insurance steps that affect access to recommended care.

05

Transportation information

Sharing information about transportation resources that may make appointments easier to keep.

06

Transition support

Extra attention during moves between levels of care, when plans are most likely to break down.

Getting started

What to expect when coordination begins.

  1. 01

    Raise it during any visit, or call 702-988-3177 and ask about care coordination.

  2. 02

    A team member talks through what you’re managing — providers, medications, referrals, and practical barriers.

  3. 03

    You complete authorizations for any records or outside contacts you want included. Nothing is shared without your permission.

  4. 04

    Together you agree on a short, prioritized set of next steps, with clarity about who does what.

  5. 05

    Follow-up continues as steps are completed, and the plan is adjusted as circumstances change.

Your care plan

Care coordination supports the plan — it does not control outside services.

Icare can help organize information and identify options, but decisions by health plans, transportation services, housing providers, benefit programs, and specialty practices remain outside Icare’s control.

Common questions

Questions patients and families often ask.

Is care coordination a separate service I sign up for?

It’s support that wraps around outpatient care at Icare, offered when available. Ask during any visit, or call 702-988-3177 to find out what applies to your situation.

Can my family member or case manager be involved?

Yes, with your permission. Many people include a trusted support person in coordination conversations, and outside case managers can be included with appropriate authorization.

Will Icare contact other providers for me?

With your written authorization, the team can request records and clarify recommendations with outside providers. Decisions made by those providers, programs, and payers remain their own.

One conversation can clarify the next step

Not sure which service fits?

Tell our team what you need. We can help you understand the next appropriate step.