Case Management Services In Houston: Healthcare Navigators To Help You Solve Your Problems

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In this guide, I will provide you with a listing of case management services in Houston. Whether you are an individual seeking services or a healthcare professional who needs help guiding a client, this community resource will help you.

You may be struggling with a medical or mental health issue and not know how to solve it. There are many agencies in Houston that can help you whether you need more information about your condition, want to find out what options are available for treatment, or need someone who will advocate on your behalf.

The first step is finding an agency that best matches your needs.

Continue reading to learn about organizations that offer case management services in Houston.

HoustonCaseManagers.com

While this site does not take on individual cases, I can answer questions when you have them.

The articles found on this Houston community resource website are meant to provide you with a thorough understanding of the topic you need help navigating. This can include medical issues, mental health, housing, or employment.

On each article found on this website, you can simply scroll to the bottom of the page and post your question in the comments section. I try to respond to these questions as fast as possible, typically 24 – 48 hours.

If you have questions about medical, mental health, or other topics simply comment at the bottom of any post or email me, I’m happy to help!

Family Houston – Case Management Services

Family Houston is a local agency that can take on your case and help you to navigate Houston’s healthcare system.

Family Houston is a federally qualified health center. This means they are a federally funded clinic that provides low-cost medical treatment to uninsured and indigent populations in Houston. In addition to these services, they can also help you with connecting to programs that provide medical, food benefits, dental, and other government assistance programs.

Specific programs that Family Houston can help connect you to include:

Houston food stamp program

Medicaid
Texas Women’s Health Plan
TANF or welfare programs in Houston

Harris Health Gold Card
Crime Victims compensation programs in Houston

There are three Houston area offices where you can receive case management:

Family Houston Central Office – 4625 Lillian Street, Houston TX 77007
Spring Branch Family Development Center – 8575 Pitner Rd, Houston, TX 77080 (Tuesday, Wednesday, Thursday)
Waller United Way – 531 Farm-to-Market 359 Road South, Brookshire, TX 77423

For more information, you can call 713 861 4849 or visit the family Houston website.

Harris Health Case Managers and Social Workers

Harris Health System is the healthcare network that issues the Gold Card. If you have a Gold Card you can receive help navigating the Harris Health System via their in-house case managers and social workers.

Whether you are receiving care at Ben Taub hospital or one of the Harris Health outpatient clinics, there are case managers who can help you to solve problems related to social, financial, and psychological issues.

Harris Center (Mental Health and IDD Case Management)

Harris Center is the mental health authority of Harris County. If you do not recognize the name Harris Center, you may remember them as MHMRA Harris because that was their old name.

If you, a family member, or a client need mental health or IDD help, Harris Center can assist you.

They offer inpatient case managers at their outpatient clinics, crisis case managers via their MCOT or Mobile Crisis Outreach Team, 24-hour crisis counselors on their helpline, and Care Coordinators who work with IDD clients who have cognitive delays. Whether you are needing short or long-term mental health or IDD case management, Harris Health can help you.

For more information, you can contact them at 713.970.7000 or visit their website to find a Harris Center clinic near you. Harris Center has case managers answering phones 24 hours a day so you can call them anytime with your questions.

Help Dealing With Legal Problems In Houston

If you have legal issues, you can find help by contacting local legal aid agencies in Houston.

These legal aid non-profits can sometimes take up your case and help you in the courts. If these legal aid agencies in Houston can’t take on your case, they can at least provide you with step-by-step instructions to take or guidance on which legal forms you should complete to help you resolve your legal issues.

To see the complete list of legal aid agencies who can help you refer to our guide titled Free Legal Advice in Houston: Low-Cost Lawyers Who Can Help You With Your Legal Troubles.

Memorial Assistance Ministries (Houston Case Management Services)

Memorial Assistance Ministries (also known as MAM) provides case management in Houston. The areas that the Memorial Assistance Ministries case management program help includes:

Help to find housing in Houston

Utility assistance
Rental assistance
Child care

Employment assistance programs in Houston
Financial assistance

To receive help from MAM you will need to live in the zip codes that they serve. Those include:

77008
77009
77018

77022
77024
77037

77039
77040
77041

77043
77055
77076

77079
77080
77088

77091
77092

For more information about this case management program you can contact 713.468.4516, extension 105, visit their office at 1625 Blalock Road, Houston, Texas 77080, or visit the Memorial Assistance Ministries website.

Northwest Assistance Ministries

NAM offers case management and a number of other services to its clients.

NW Ministries Offers The Following Services:

The Interfaith Homeless Network (IHN) assists homeless families with household items like cleaning items, move-in kits, limited financial assistance, or transportation expenses.

The Way Home is a program that helps to determine an individual’s eligibility for local housing programs. NAM is one of the partner agencies that assist clients with completing a The Way Home assessment which will then inform them of the housing options available to them.
Housing Services help families in Houston facing homelessness with financial assistance for rent/mortgage, finding affordable housing, case management, and referrals for additional needs.
The Family Violence Center offers a 24-hour crisis line, counseling, emergency shelter, and other resources for women and children fleeing domestic violence.

To receive help from NAM you must live in NW Harris County. The specific zip codes that they serve include:

77014
77032

77038
77050
77060

77064
77066
77067

77068
77069
77070

77073
77086
77090

77373
77379
77388

77389

The agency is located in the Cypress neighborhood. The address is 15555 Kuykendahl Rd, Houston, TX 77090. For more information visit their website or call them at 281.885.4545.

Change Happens

Changes Happens is a nonprofit that is located in 3rd Ward Houston, TX that provides case management services to children and women.

The specific populations that Change Happens serves are:

Children up to age 20 who receive Medicaid
Pregnant women who receive Medicaid who have health problems or at risk of developing health problems

The Change Happens case managers can help you to find medical/dental services, obtain medical equipment, and assist with connecting you to education programs to help you become more self-sufficient.

For more information about the Change Happens case management program you can call them at 713.374.1200, visit their 3rd Ward office at 3353 Elgin St, Houston, TX 77004, or log on to their website.

City of Houston: Juvenile Case Manager Program In Houston

This City of Houston Juvenile program provides case management to students who appear in the court system due to citations.

The Juvenile Case Manager program focuses on students in middle and high school who attend a campus within Houston city limits. The services provided to students are:

Home visits to students
Referrals to Houston community resources to help students and their families

Offers mentoring programs to students in the Juvenile case management program
Volunteer programs offered to students
Provide assessments and a diagnosis of truant behavior

For more information, you can contact 713.247.8407 or visit the City of Houston Municipal Courts Department website.

Montrose Center (Houston LGBT Organization)

The Montrose Center provides supportive services to the LGBTQ community in Houston.

Those supportive services include case management.

The populations that the Montrose Center serves are:

Individuals with a diagnosis of HIV/AIDs in Houston
Survivors of domestic violence, sexual assault, or a hate crime

LGBTQ adults 60 and older

If you have a diagnosis of HIV/AIDs the Montrose Center can help you in a number of areas that include connecting you to a primary care doctor, finding affordable medications, locating housing, and other Houston community resources.

For more information on this case management program contact 713.529.0037, visit their office at 401 Branard St, Houston, TX 77006, or go to the Montrose Center website.

AIDS Foundation Houston (AIDS Case Management Houston)

The AIDS Foundation Houston provides case management visuals with a diagnosis of HIV and AIDS.

Case management services offered here include:

Counseling or mental health and substance abuse issues

Help connecting to government programs like Medicaid, food stamps, TANF,, etc
Addicting clients to AIDS Foundation Houston Housing Programs.

For more information, you can contact 713-623-6796, or log on to the AIDS Foundation Houston website.

City of Houston HIV /STD Program (HIV/AIDS Case Management In Houston)

City of Houston Health Department also offers case management to individuals who have a diagnosis of HIV, AIDS, another sexually transmitted disease.

This program helps their clients with the following resources:

Linkage to prevention, intervention, and HIV/STD treatment programs in Houston

Get screened for HIV and STDs
HIV/STD case management programs
Receive PrEP

Get referred to transgender healthcare programs in Houston

For more information, you can contact the City of Houston HIV/STD program at 832.393.5010, visit their office at 8000 North Stadium Drive, Houston, TX 77054, or log on to their website

Medicare Advantage Care Coordinators

If you have a Medicare Advantage plan, there is a good chance that you have an assigned case manager. In the insurance industry, case managers are sometimes referred to as Care Coordinators.

Editor’s Note: If you have a Medicare Advantage plan and a chronic condition like diabetes, heart disease, or high blood pressure the is a strong likelihood that there is a Care Coordinator assigned to your case.

Their role is to help you to get the most out of your Medicare Advantage plan. This means helping you connect to doctors and specialists who can treat you, informing you of medical equipment that your insurance will pay for, and connecting you to physical, occupational, and speech therapists when you need them.

Essentially any question you have about your Medicare Advantage coverage and what benefits you are entitled to should be directed to your Care Coordinator.

You can get in touch with your Medicare Advantage Care Coordinator, by contacting the customer service number on the back of your MA insurance card.

Hospital Discharge Planners

If you were hospitalized, your discharge planners would help you navigate the healthcare system by providing information about post-hospital care options.

It’s important that you clear up any questions that you have regarding your discharge plans with the hospital case manager. Once you are discharged you are essentially on your own…

Until then, it’s the discharge planner’s job to ensure that you have a safe discharge plan and help you with any barriers you anticipate on discharge.

Two community resources guides that can help you during a hospital discharge are:

311 Houston

This is the local information line in Houston. You can call this number to learn about city services and other community resources to address your problems. You can call them by dialing 311 on your telephone.

Take Your Issue To Houston City Council Members

If 311 cannot help you to resolve a community issue, then your next step could be speaking to your city council member in Houston. In our guide titled How To Make A Complaint To Your Houston City Council Member you will learn:

When and where city council meetings in Houston take place

How to contact your city council member’s office.
See a listing of Houston Civic Clubs that can possibly help you.
Learn about the Mayor’s Office for People with Disabilities and how they protect the rights of individuals with disabilities in Houston.

Houston City Council Members have lots of power, influence, and connections to government programs and non-profits who can potentially help you to overcome any problems you are currently facing.

Star of Hope (Homeless Case Management Houston)

Whether someone is staying a the men’s or women’s shelter in Houston, they will have access to homeless case management services.

Some of the services that are offered at this Houston homeless shelter include:

30 days to 18 months of basic care through transformational programs
Case Management
Safe housing and basic services

Needed social services, guidance, therapy, and support to begin healing emotional scars
Licensed intensive substance abuse recovery program
Spiritual recovery, Bible studies, and chapel services

Workforce development and education to help set and achieve employment goals and independent living
A state-licensed Children’s Program, including child care, preschool, after-school activities, homework assistance
A Teen Program focusing on education and healthy living patterns and transition to college

Referrals for and assistance to secure permanent housing

For more information about Star of Hope homeless case management services visit their website, go to one of their shelters, or contact them at 713.222.2220.

The Landing (Case Management For Human Trafficking Survivors In Houston)

This is a day center for survivors of human trafficking who are either forced into sexual or labor exploitation.

Services are offered to survivors of human trafficking in a safe, secure office building. This location was strategically selected to deter pimps from pursuing survivors and to serve as a more discreet location for anyone seeking help.

These are the resources offered:

Case Management
Counseling
Community resource referrals
Food + Clothing
Transportation Assistance
GED Support
Employment Assistance
Resting Room
Mentorships
Phone usage
Phone interpretation support

You can stop by the day center anytime Monday – Friday from 10 am to 4 pm. The address is 9894 Bissonnet Street #605, Houston, TX 77036. For more information visit their website or call them at 713.766.1111.

Bay Area Turning Point (Homeless Shelter Clear Lake, TX)

Bay Area Turning Point offers shelter to men, women, and children who are the victims of domestic or sexual assault.

Walk-ins are welcome here on Monday, Tuesday, and Friday from 8:30 am-5:30 pm. On Wednesdays and Thursdays, walk-in hours are 8:30 am-8:30 pm.

The following services are offered to anyone who has experienced sexual assault or family violence. You do not have to be staying at the shelter to receive these services:

24 Hour crisis hotline
Court accompaniment
Assistance with filing protective orders
Information and referral
Education and awareness
Violence against women support groups
Legal advocacy
Crime victims consultation to recoup lost wages
Counseling
Police/Hospital 24 Hour accompaniment
Professional training’s and workshops
Clothing assistance
Post shelter follow-up program
Housing assistance
Case management

The services below are only offered to those staying at the shelter:

Case management
Job readiness
Housing assistance
Crime victims consultation to recoup lost wages
Food and clothing
Counseling
Life skills classes
Academic tutoring for adults and children
GED preparation
Childcare
Support groups
Transportation
Parenting skills classes
Budget and financial planning
Special projects and activities
Nutrition education

The shelter is located in Webster, near the intersection of NASA Road 1 and Highway 3. The address is 210 S Walnut Street, Webster, TX 77598. For more information visit their website or call them at 281.286.2525.

Bristow Center – PATH Program (Homeless Case Management)

The PATH Program is a day center for homeless individuals with mental health diagnoses. PATH is a part of Harris Center (formerly MHMRA of Harris County).

PATH is open Monday – Friday from 7 am to 4 pm, however, this is a first-come, first-serve process.

You are encouraged to arrive at PATH around 6:30 am for a better chance of being seen. PATH typically takes 3 – 5 new clients per day which demonstrate how important it is to arrive early.

PATH Program offers the following services:

Linkage to Psychiatric Services.
A place to shower.
Case Management services
Lunch
Temporary ID

The PATH Program is located in the Midtown neighborhood. The closest major intersection is Caroline and McGowen. The address is 2627 Caroline St, Houston, TX 77004.

For more information call PATH at 713.970.7413 or call the Harris Center main helpline at 713.970.7000 and they will be able to answer any questions.

Compass (Houston Homeless Case Management)

Compass offers case management services and helps to obtain Harris Health/Gold Card to homeless men/women in Houston.

This is NOT a homeless shelter.

Compass is open Monday through Friday from 9 am to 2 pm.

Services (case management and Gold Card help) are offered on a first-come, first-serve basis. Compass only sees the first 10 clients per day, therefore, you are advised to arrive as early as possible. Possibly 7 am?

Below is the weekly schedule for the day center’s services:

Gold Card assistance occurs Monday – Friday. First 10 people, so arrive early.
Case Management assistance occurs Monday – Thursday. Walk-ins for Case Management is not offered on Fridays.

The following resources are offered here:

Case management, help to obtain a Gold Card, vocational counseling (JobPoints Project), clothing and haircut vouchers, reading glasses, telephone use, community voice-mail, and mail, offers bus tickets for the Project Access homeless bus.

The day center is located in downtown Houston. It is housed in the same building as The Beacon. The address is 1212 Prairie St, Houston, TX 77002.

For more information visit their website or call them at 713-229-8319.

The Beacon (Homeless Case Management Houston)

The Beacon is a day program that offers a number of resources to homeless men and women in Houston.

This is NOT an overnight shelter.

The shelter is not open daily, therefore, it’s best to either call them at 713.220.9737 or email them at info@beaconhomeless.org for hours of operation.

Below is a brief summary of operational hours:

The Day Center is open Monday, Thursday, Friday from 7 am to 2 pm.
Beacon Law is open Monday and Friday. Doors open at 8 am

The shelter can only accommodate a limited number of clients which is why it’s important to arrive at least an hour prior to the center opening.

The Beacon offers many services to clients, here are just a few:

At the Day Center services like a hot lunch, access to showers and laundry services are offered. The services are offered Monday, Thursday, and Friday. The Day Center is open from 7 am to 2 pm.
Bridgid’s Hope is a program for women 35 and older who are recently released from prison. The goal of the program is to help women transition from the criminal justice system to self-sufficiency. Linkage to housing, a mentor, and case management are provided to clients in this program. For eligibility requirements visit the Beacon website. Call 713-590-3318 for more information on Bridgid’s Hope Program.
Bacon Law provides free legal assistance to clients. Some of those services include:
- Help obtaining IDs, resolving traffic warrants, and birth certificate problems.
- Assistance with Social Security, VA Benefits, and elder law.
- Housing Law regarding disputes between you and your landlord or foreclosure/title disputes.
- Employment/Labor Law regarding criminal history corrections, wills, and consumer law.

For legal assistance, you must visit the Beacon on Mondays and Fridays and arrive at 8 am. Preferably sooner. If you are staying at a Houston area shelter your case manager can provide a referral. For more information call the Beacon Law at 713.220.9780.

The shelter is partnered with The Way Home Program. This is a housing program that helps clients gain access to permanent housing. Beacon Houston is one of the few local sites that offer Coordinated Access. The Coordinated Access assessment is used to determine eligibility into The Way Home Program. For more information on the housing program call the Beacon at 713-220-9717.

The Beacon is located in the heart of downtown Houston. The address is 1212 Prairie St, Houston, TX 77002. For more information visit their website or call them at 713.220.9737.

Conclusion

Case managers can help you to navigate what can be a very confusing healthcare system. Whether you are seeking help understanding medical, mental health, insurance benefits, legal options, HIV/AIDS healthcare, or homeless services, there are case managers who can help guide you.

If you provide case management services in Houston and would like to have your organization added to this list simply comment below.

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Nick Bryant

Nick Bryant is the author of Understanding Healthcare Is Half The Battle and a Senior Counselor with 13+ years of experience working in community health and mental health. He enjoys spending time with his family, watching WWE on Friday nights, and working toward a Google Data Analytics certification. If you have additional questions about community resources or government assistance programs, simply leave a comment below and he will follow up as soon as possible.