Healthcare Professionals
Physicians, nurses, and clinical specialists coordinated through a single, unified care plan that keeps everyone on the same page.
Connected, Coordinated Care
Community Care Coordination
A partnership model that brings together healthcare professionals, mental health providers, pharmacists, specialists, and community services — all working as one team around you.
From provider-focused to person-centered.
Community Care Coordination transforms how care is delivered — moving from a fragmented, provider-focused model to one that is patient-centered and community-based, improving quality and reducing costs.
BLH coordinators serve as the connecting thread, ensuring that every professional involved in a participant's care is informed, aligned, and working toward the same goals.
Who We Bring Together
The Care Partnership Network
Mental Health Providers
Behavioral and mental health professionals integrated into the care team to support the whole person, not just the physical diagnosis.
Pharmacists & Specialists
Medication management and specialist input coordinated alongside primary care to prevent gaps, duplications, and adverse interactions.
Clinics & Hospitals
Smooth transitions between hospital, clinic, and home settings — with referral tracking and follow-up to ensure no one falls through the cracks.
Community Services
Connection to food, housing, transportation, and other social supports that directly affect health outcomes and quality of life.
Essential Item Support
Access to funds for essential items during community transitions, reducing gaps that can derail a participant's care journey.
Your Coordinator's Role
What a BLH Coordinator Does for You
- Provides information on health resources and community services available to you
- Manages care transitions and tracks referrals to ensure follow-through
- Engages community partners in a holistic, team-based approach to your care
- Supports you in actively managing your health conditions and treatment plan
- Helps secure essential items or funding during transitions between care settings
BLH's care coordination model is designed to improve healthcare quality and patient experience while reducing costs — delivering care that meets people where they are in the community.
Get Connected
Talk to a Coordinator
Whether you are navigating a new diagnosis, a care transition, or simply need help finding the right resources, our coordinators are here to help.
- Phone
- (301) 951-0105 · Ext. 504
- Toll Free
- 1-855-653-3502
- Fax
- (443) 539-8007
- care@blhnurses.com