Care Coordination Program

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1- Primary Navigation

Care Coordination Program is a care management service model whereby all of an individual's caregivers communicate with one another so that all of the patient's needs are addressed in a comprehensive manner.  This is done primarily through a "care manager" who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room, and out of the hospital.  The Care Coordination Program services are provided through a network of organizations – providers, health plans, and community-based organizations.

BronxWorks is a partner in the Care Coordination Program initiative, as designed by New York State.  We have joined with Montefiore Medical Center and Bronx Lebanon Hospital to bring comprehensive services care to individuals faced with a chronic illness.  Our collaboration includes primary care physicians, hospitals, substance abuse providers, housing and entitlement programs, and more.

The chronic illnesses addressed by Care Coordination Program include (but are not limited to) HIV, diabetes, asthma, hypertension, heart disease, obesity, substance use, and mental health.  At this time only individuals 18 years and older with Medicaid qualify for the services.

We will work with you to:

  • ensure that you are linked to medical services
  • assist with medical appointments
  • seek out needed entitlements
  • assist with treatment adherence
  • provide housing assistance
  • and much more

BronxWorks Community Care Coordination Program 24 hour phone number for active members:


For more information or to make an appointment, please contact:

George Irick, LMSW
Program Director
BronxWorks Care Coordination Program
630 Jackson Avenue, 2nd floor, office #201
Bronx, N.Y., 10455
Cell Phone: 917.763.1323
Office Phone: 646.393.4000 x72813
Direct Line: 347.620.2813

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