AIRnyc provides care coordination to improve healthcare access and social care for underserved people of all ages who bear the highest burdens of poverty and chronic disease, including asthma, diabetes, hypertension and high-risk pregnancy. AIRnyc's care coordination interventions include:
- Connections to care
- Health coaching & education
- Social service connections
- Environmental assessment and/or remediation
- Delivery of medically tailored, culturally appropriate meals to improve access to healthy food and drive lasting dietary change
- Place-based services and street-level outreach and education, such as COVID and flu vaccination resources for the elderly
Accepts patient referrals within 24 hours of notification and will begin the outreach and intake process. PLEASE MAKE SURE CLIENT HAS ACTIVE PHONE NUMBER.
Janise Kangombe, director of care coordination, Jkangombe@air-nyc.org is the point of contact for managing all referrals.