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Rural Health Information Hub

Services Provided by Care Coordinators

Care coordinators provide services by working alongside healthcare providers in clinical settings, such as hospitals and physician offices, mental healthcare settings, substance abuse disorder treatment settings, as well as non-clinical settings, such as schools, worksites, and community organizations. Care coordinators may provide the following services:

  • Appointment scheduling and follow-up
  • Health education
  • Patient navigation
  • Care management
  • Medication management
  • Care transition support
  • Referrals
  • Self-management support
  • Culturally competent and linguistically appropriate care
  • Transportation assistance
  • Translation services
  • Community outreach
  • Program eligibility and enrollment assistance
  • Linkages to other community-based or social services

Care coordinators provide these services using written materials, computer and web-based technologies, one-on-one or group-oriented education, counseling, and case management methods. For example, in one rural program that serves migrant farmworkers, care coordinators complete an emergency contact card for all participants containing their basic demographics and the phone number of their local clinic. Patients present this information to clinic staff at healthcare appointments.