The Care Manager ensures patients maintain an active relationship with a Primary Care Provider (PCP) and facilitates access to high-quality, evidence-based healthcare services, while helping patients connect with community-based programs, resources, and benefits that support overall health and well-being. Areas of focus may include infectious disease prevention and education, tobacco cessation, pregnancy and prenatal support, parenting skills, co-occurring mental health conditions, dental health, nutrition, personal hygiene, and chronic disease management, including hypertension, diabetes, obesity, coronary artery disease, chronic pain, and depression.