Depending on the member's case management needs, activities could include a wide range of things like helping someone apply for Medicaid, follow-up with Social Security, enroll for classes, apply for affordable housing, find food pantries, learn to ride public transportation, learn ways to track appointments, find activities to do in line with the member's interests and values, find out where to go for things like tax filing, affordable child care, and legal support, and other similar things necessary for a member's success. Provides case management by phone and in person to refer and link members to external healthcare providers and community resources to facilitate and improve continuity of care, promote progress toward recovery goals, and address social determinants of health.