We know navigating the healthcare system can feel overwhelming.

That’s why our Case Management Program is devoted to helping you achieve great health on your own terms, with a little guidance to get you going in the right direction.

With a case manager on your side, you can rest assured that your voice will always be heard and your health will be taken care of.

Case Management Services

  • Health Home Care Coordination

    Housing Works Health Home Care Coordination Programs provides comprehensive care for clients with chronic conditions in the areas of Primary and specialty medical care, substance use treatment, mental health treatment, and other supportive social services. Health Home removes barriers to quality care, improves positive health outcomes, and reduces life-threatening conditions due to delayed doctor visits. We help Medicaid-eligible clients find the right services at the right time, by coordinating with the right healthcare providers.

    We help Medicaid-eligible patients with chronic illness, and Medicaid recipients with one or more of the following:

    • HIV/AIDS
    • Hypertension
    • Heart Disease
    • Diabetes
    • Asthma
    • Mental Health
    • Substance Use

    Services include:

    • Patient and family support
    • Referrals and support for community and social services including housing, legal services and food assistance programs

  • Re-Entry

    Housing Works Community Healthcare Re-entry program is a holistic approach and advocate for individualized services to assist clients to successfully reintegrate back into the community. Our comprehensive model connects individuals to medical, dental, mental health, substance use programs, and case management services, as well as vocational training, obtaining entitlements, and referrals to long term housing placement. We assist clients by helping them find their way back home and developing healthy everyday routines to a successful reintegrate into society. We can equip our clients’ with the necessary skills needed to navigate the social service system and find new opportunities to achieve success.

  • Medical Case Management

    The Medical Case Management (MCM) program connects HIV-Positive individuals with medical and behavioral health services to achieve and maintain a healthy lifestyle. Case Managers empower clients with resources, education and the tools they need to become their own health advocates.


of patients would recommend our primary care to a friend.



What kind of housing resources do you have?

Once you enroll in a program, you'll be assigned a Care Manager. You and your Care Manager will meet to discuss housing options and the types of housing support you can apply for.

Can you help me find a doctor?

Yes, our role is to coordinate care with medical providers and make referrals to community and social support services.


Looking for a healthcare provider? Visit us at one of our locations below or reach out now to connect with us.

Keith D. Cylar Community Health Center

743-749 East 9th St.
New York, NY 10009
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Medical Care
  • Sunday: CLOSED
  • Monday: 9:00 am-5:00 pm
  • Tuesday: 9:00 am-5:00 pm
  • Wednesday: 9:00 am-5:00 pm
  • Thursday: 9:00 am-5:00 pm
  • Friday: 9:00 am-5:00 pm
  • Saturday: CLOSED
Adult Day Health Center
  • Sunday: 9:00 am-3:00 pm
  • Monday: 9:00 am-3:00 pm
  • Tuesday: 9:00 am-3:00 pm
  • Wednesday: 9:00 am-3:00 pm
  • Thursday: 9:00 am-3:00 pm
  • Friday: 9:00 am-3:00 pm
  • Saturday: 9:00 am-3:00 pm
  • Primary Care
  • Behavioral Health & Substance Use
  • AIDS Adult Day Community Healthcare
  • Case Management
Public Transit
  • to Union Square then the 14D Bus to 10th St and Avenue D

Downtown Brooklyn Health Center

57 Willoughby Street
Brooklyn, New York 11201
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  • Primary Care
  • Behavioral Health & Substance Use
  • AIDS Adult Day Community Healthcare
  • Case Management
Public Transit
  • to Jay Street-Borough Hall
  • to Lawrence St.

Transgender Transitional Housing Program

2611 Pitkin Ave.
Brooklyn, NY 11208
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  • Case Management

Manhattan Harm Reduction Center

130 Crosby St, 7th Fl.
New York, NY 10012
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  • Case Management

East New York Community Health Center

2640 Pitkin Ave.
Brooklyn, New York 11208
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  • Primary Care
  • Behavioral Health & Substance Use
  • Case Management
Public Transit
  • to Euclid Av

Bronx Health Home Care Management

1255 Rev. James Polite Ave.
Bronx, New York 10459
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  • Case Management
Public Transit
  • to Freeman St.