health care coordination and management services, namely, identifying health plan members recently discharged from the hospital who are at-risk for health deterioration and re-hospitalization and evaluating their specific needs, facilitation of medical care and behavior health services; assistance with health care system navigation, and coordinating medical, physical, social, personal care and psychological services

case management services rendered to health-plan members recently discharged from the hospital who are at risk for health deterioration and re-hospitalization, namely, the coordination of necessary medical care and behavior health services, as well as of physical, social, personal care and psychological services; providing nonmedical services for personal purposes in the nature of scheduling appointments in the health care system