Services

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 Our Health Promotion & Coaching services empower individuals to take an active role in their health and well-being. Delivered by certified Community Health Workers (CHWs), this service focuses on preventative care, early intervention, and supporting manageable steps toward long-term health.

Working one-on-one, our CHWs help you:

• Identify Barriers and Health Needs
  Through screenings and guided conversations, we help uncover social or environmental factors such as housing, food, or transportation challenges that may be getting in the way of your health goals. These insights help inform a care plan that works for you.
   
• Create Clear, Personalized Action Plans
  We collaborate with you to break down health goals into small, achievable steps. Whether it's attending appointments, building healthier habits, or understanding your provider’s recommendations, we’ll help you stay organized, motivated, and informed.
   
• Build Everyday Skills for Prevention and Maintenance
  Our coaching includes guidance on managing stress, preparing for medical visits, improving nutrition and physical activity routines, and sticking to wellness routines that fit into your daily life. We use proven, non-clinical strategies tailored to your needs, culture, and comfort level.
   

Health Promotion & Coaching is always aligned with your provider’s care plan and focuses on helping you prevent complications, stay on track with your health, and feel confident navigating the healthcare system. It’s about meeting you where you are and helping you build toward where you want to be.

Our Health Education services help Medicaid beneficiaries better understand their health conditions, follow care plans, and take informed steps toward wellness. Certified Community Health Workers (CHWs) offer one-on-one, evidence-based education focused on medically necessary needs, always tied to a provider’s diagnosis or care plan.

We help individuals build knowledge and confidence in managing a wide range of chronic and at-risk health conditions, including but not limited to:

• Hypertension (high blood pressure)
• Asthma and other respiratory conditions
• Chronic pain
• Cardiovascular disease
• High cholesterol
• Obesity and weight-related conditions
• Pre-diabetes and diabetes
• Migraines and chronic headaches
• Arthritis and joint conditions
• Gastrointestinal issues (such as acid reflux, IBS)
• Sleep-related disorders (e.g., sleep apnea, chronic fatigue)
• Menstrual and reproductive health concerns (e.g., PCOS)
• Conditions requiring post-hospitalization recovery or frequent ER use
   

• Anxiety and panic disorders
• Depression and mood disorders
• Trauma-related symptoms (trauma-informed care approach)
• Tobacco dependence and nicotine use
• Alcohol use and substance use disorders
• Stress-related health impacts
   

• Family planning and birth control education
• Maternal health and prenatal/postpartum care
• Cancer prevention and early screening education
• Immunization awareness and scheduling
• Injury prevention and environmental health risks (e.g., lead, mold)
   

We also provide education on:

• Understanding medications and adherence
• Recognizing warning signs and knowing when to seek care
• Lifestyle changes that support long-term wellness
• How to access health services and follow provider recommendations
   

Our goal is to make healthcare feel more approachable, clear, and manageable so you can take charge of your well-being and prevent complications before they start.

At Thriving Together, our Community Health Workers (CHWs) deliver services through both one-on-one and small group formats, always guided by compassion, professionalism, and the highest standards of Medicaid-compliant care. Each interaction is rooted in medical necessity and supported by a Licensed Clinical Social Worker, ensuring that the support we offer is tailored, purposeful, and meaningful.

Our CHWs provide face-to-face, individualized support that helps clients better manage chronic health conditions, reduce risk factors, and navigate complex health systems. Whether it's health coaching for diabetes, one-on-one education about prenatal care, or guidance on accessing a new primary care provider, services are always personalized to the client's specific needs and documented health goals. These visits must take place in approved, private settings and are fully aligned with the client’s care plan authorized by a licensed healthcare provider.

For those who benefit from shared learning and peer support, we offer small group sessions capped at eight Medicaid beneficiaries per group. These sessions may include evidence-based health education on topics like chronic disease self-management, tobacco reduction, or injury prevention. Each group participant must have a documented health diagnosis and a formal referral from a qualified provider. Group sessions are interactive, medically necessary, and designed to foster community, confidence, and continuity of care.

We are committed to delivering these services in HIPAA compliant environments that protect privacy, respect culture, and empower individuals to take control of their health.