Provides Community Health Workers (CHWs) who partner with community agencies to help individuals living with chronic health conditions within underserved communities. CHWs assist clients in overcoming barriers to health, social services, education, and employment through client visits and community engagement.

Services include:

-- Meets with individuals where they are to better understand the challenges they are facing

-- Shares information with primary care team about client lived experiences

-- Helps individuals understand their healthcare team's plan of care

-- Helps individuals connect with community services

-- Assists clients with navigating systems to get the care they need

-- Assists clients with overcoming barriers to improve their health and wellness

-- Conducts home visits

-- Provides client education to improve health and wellness

-- Performs health and wellness activities in group sessions, health fairs, clinics, and other community settings