Must reside in LA and within the assigned region/parishes: Region 8 (Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll); Region 1 (Orleans, Jefferson, St. Bernard, Plaquemines); or Region 5 (Beauregard, Allen, Jefferson Davis, Calcasieu, Cameron) Region 7 ( Caddo, Bossier, Webster, Claiborne, Bienville, Red River, DeSoto, Sabine, Red River, Natchitoches). Identify gaps and opportunities to strengthen systems of care within the member's community and assists members in utilizing community services, including scheduling appointments with social services agencies, (including transportation vendors), and assisting with completion of applications for eligible programs.