Meet the Network
A network built by community, for community
BHT has been facilitating care coordination in the region since our founding. From our early days of insurance navigation and trusted messenger work, we have had a goal of connecting folks to services through an integrated community network of care that is both for and by the community.
As we build our region’s Community Care Hub, we’re growing a network of partners that includes: Care Coordination Partners, Referral Partners, and Friends of the Network—partners who offer training, capacity building, technical assistance, and more to strengthen the entire network.
Why do we call it the 'Social Care Network'?
Most of us are familiar with healthcare networks in our region, whether that be hospital networks, managed care networks, or other primary care institutions, but what about social care?
Social care focuses on the non-clinical needs that folks need to be healthy, like having a safe place to live, access to nutritious food, reliable transportation, or family support services. These essentials—often outside the doctor’s office—play a critical role in keeping folks healthy.
The Social Care Network is made up of trusted community partners who connect folks to these resources. Care coordinators work one-on-one with folks to address their most urgent needs.
Better Health Together supports a network of Community Based Organizations (CBOs)—including social service providers, behavioral health specialists, and health care centers—that employ a community workforce reflective of the diverse cultures, languages, or beliefs that they serve.
We call this our Social Care Network, which includes:
Care Coordination Partners
Referral Partners
Friends of the Network
At Better Health Together, we know CBOs and their workforce are the experts at providing culturally and linguistically appropriate care. Through funding and support, we aim to amplify community expertise and empower CBOs to do what they do best: serving their communities.
The Social Care Network
Community Based Care Coordination Partners
Partners contracted with BHT to provide community based care coordination services.
Referral
Partners
Partners who work with BHT to help guide individuals who need care to the Community Care Hub.
Friends of the Network
Partners who help make our network stronger by providing professional development and collaboration.
How it Works
Our focus is to reduce the burden on members of the network by simplifying the process of connecting patients to services by facilitating referrals, connecting health care and social service providers, and tracking progress to support healthier individuals and families. We also provide funding that is focused on the long-term, so CBOs don’t have to constantly pursue grants and other funding sources.
Through partnership with BHT, community-based organizations also learn the requirements of federal funding, so they are equipped to pursue additional funding streams at the highest level.
Our Network Services
Workforce Support and Training
We support community-based workers with funding and training
Data and Care Standards
We compile regional data to help our community-based organizations know what’s making the largest impact
Connection and Collaboration
We offer forums and opportunities for our network connect to share their experiences, challenges, and information
Application Launch:
Be a Community Based Care Coordination Partner with the
Community Care Hub
BHT is working towards building a Community Care Hub that amplifies community expertise to help build healthier communities. Are you an organization providing care coordination in our region? We want to hear from you!
Apply to the Request for Proposals by October 1, 2025
BHT intends to fund the care coordination work of 10-20 Community Based Organizations employing 12-30 Community Based Workers between February 2026 and January 2027. Proposals should be for care coordination services provided by a minimum of one to a maximum of five (1-5 FTE) Community Based Workers (CBW) and a recommended .3 Supervisor FTE per CBW.
