It includes community resources and services that the Care Manager will collaborate with patients identified through risk stratification, focusing on emergency room and inpatient discharge follow-ups, inpatient readmissions, transitions of care, and geriatric patient health needs. COMMUNITY HEALTH: Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on.