Care Coordination /Case Management

Care Coordination & Case Management Services

Guiding You Toward Stability, Health, and Empowerment.

At Survivor Sources Inc., our Care Coordination and Case Management services are a cornerstone of our commitment to delivering holistic, person-centered, and outcomes-driven support. We recognize that individuals navigating complex life transitions—such as reentry after incarceration, recovery from chronic disease, overcoming substance use, or rebuilding after trauma—require comprehensive, coordinated care tailored to their unique strengths and needs.

Our services are embedded within our Community Reentry & Wellness Program (CRWP) framework and are designed to ensure timely, integrated access to essential supports across health, social, vocational, and housing domains.

Our Approach to Care Coordination and Case Management

Individualized Needs Assessment:
We conduct thorough, strength-based assessments to understand each client’s goals, barriers, and resource needs, ensuring care plans are uniquely tailored.
Integrated Care Planning:
Clients partner with dedicated case managers and care coordinators to develop a flexible, person-centered service plan addressing health, housing, behavioral health, financial stability, and social connection needs.
Collaborative Service Navigation:
Survivor Sources works closely with healthcare providers, housing agencies, vocational programs, behavioral health specialists, and community partners to coordinate services, reducing gaps and ensuring seamless transitions.
Advocacy and Rights Protection:
We advocate for the rights and dignity of our clients, ensuring equitable access to public benefits, veterans’ services, and culturally competent care.
Timely Communication and Documentation:
Our team maintains clear, timely, and confidential communication with all service providers and stakeholders, including submitting required reports to probation officers, VA representatives, or legal authorities as necessary.
Health and Wellness Promotion:
We actively assist clients in connecting with primary care providers for wellness services, behavioral health treatment, immunizations, and chronic disease management, recognizing health stability as a foundation for life success.
Skill Development and Empowerment:
Through vocational training, personal finance education, and life skills coaching, we support individuals in building confidence, independence, and long-term stability.
Emergency Support Access:
Clients have access to a 24-hour emergency hotline for immediate assistance with urgent needs related to transportation, housing crises, behavioral health emergencies, or health navigation.

Key Services Include:

Comprehensive case management and care coordination
Behavioral health and medical appointment navigation
Housing counseling and placement support
Vocational training and employment assistance
Food and nutrition access coordination (SNAP enrollment and nonprofit donations)
Transportation assistance to medical appointments and day programs
Peer support and recovery navigation services
Veterans disability application assistance and medical/mental health coordination
Environmental modification planning for safer, more accessible living spaces
Crisis management and emergency resource linkage
Status reporting for probation, parole, or legal oversight agencies

Commitment to Excellence

Our case management and care coordination services are guided by best practices set forth by:

CARF International Behavioral Health and Social Service Standards
Maryland Department of Health Case Management Regulations
Federal Case Management and HIPAA Privacy and Security Requirements
SAMHSA’s Recovery Support and Care Coordination Frameworks

We prioritize continuous quality improvement, client rights, trauma-informed care, cultural humility, and evidence-based service delivery at every level of care.

At Survivor Sources, we don’t just connect clients to services—we walk alongside them, empower them, and ensure they are seen, heard, and supported every step of the way.

Care Coordination /Case Management