Service
Case management
Participant-led plans, coordinated providers and progress reviews.
A shared plan connects the people and services involved in a household’s support. Goals, next steps and communication should be clear to the participant and the partners they choose.
What it includes
- Individualised needs assessment
- Goal development, led by the household
- Service planning with clear next steps and owners
- Coordination between providers already involved
- Referrals, with follow-up to confirm the connection happened
- Progress monitoring against the household's own goals
- Advocacy and support communicating with agencies
- Help finding the right resource in a crisis
How we work
The household sets the goals. We are direct about what is realistic, we do the coordination work, and we tell you when something is not working rather than letting it drift.
Who this support is for
Case management can help when housing, benefits, school and health appointments involve several agencies and the household needs a clear plan across them. It can also help someone work out why earlier referrals stalled and which next step is still open.
A first conversation should establish what the household wants help with, who is already involved and whether ApexRise can offer the right service. A county case manager, a clinical provider and a general navigation worker may have different responsibilities. We clarify those roles before proposing coordination.
What happens between appointments
The plan starts with the participant's priorities. Together, we identify practical actions, the person responsible for each one and a time to check progress. A useful plan might include asking an agency about a missing document, arranging a follow-up conversation or preparing for a housing appointment.
Follow-through means checking whether a connection happened and asking what stopped it when it did not. Contact frequency and methods are agreed around the service scope and the household's needs. We do not publish a response-time promise before confirming capacity.
Consent and communication
You choose who you want involved in planning. Before communicating with another provider, we discuss the permission needed and what information is relevant. An initial inquiry should describe the type of support being sought without sending sensitive records.
Coordination can include connections to healthcare, mental-health and substance-use providers. Those providers remain responsible for clinical assessment and treatment. If a concern is urgent, say so at the start of the conversation so the appropriate immediate resource can be identified.
Reviewing progress
Progress should be understandable to the participant. Reviews can look at completed referrals, benefits connections, housing concerns and the goals the person chose. If the plan is not working, the next review should change the plan rather than repeat the same unhelpful steps.
Partners can discuss documentation and outcome measures before an agreement begins. Proposed measures describe what would be tracked; they are not claims about past results.
Availability, funding and costs
Before services begin, confirm the scope, who will provide it, the funding arrangement and any cost to the household. Contacting ApexRise does not confirm eligibility or enrollment in a publicly funded program. The responsible agency may require an eligibility decision, an authorized referral and confirmation of capacity.
Counties and organizations can review our partnership approach. Related support includes community resource navigation and family support & independent living.
Questions people ask
- What is case management in plain language?
- It is help keeping a plan connected across the people and services involved. The work includes clarifying goals, assigning next steps and following up on agreed actions.
- How is this different from my county worker's role?
- The roles depend on the program. We clarify what your county worker already does and whether there is an appropriate coordination role for ApexRise, with your permission.
- Who sets the goals?
- The participant sets their priorities. We discuss options and practical limits together, and agree on what the service will address.
- How often would we meet?
- Contact frequency depends on the agreed scope, available staffing and your situation. Confirm the schedule and how to raise a concern before services begin.
Refer a household to this service
Start a conversation to confirm location, language needs, availability and the next step.