Outpatient social work, with the coordination work handled.
Outpatient social workers hold the whole picture — the providers, the benefits, the housing, the transportation, the follow-up. The Elderberry Care Platform gives you a real human Care Team plus the tooling to coordinate across providers, navigate resources, and document it all — so more of your day goes to the people in front of you and less to chasing phone trees and faxes.
The case is the easy part. The coordination is the grind.
Social work in an outpatient setting means stitching together a system that wasn’t built to talk to itself. The clinical judgment is yours; the administrative drag shouldn’t have to be.
Fragmented across providers
A single client may see a primary care physician, two specialists, a pharmacy, and a county program — none of whom share a record. You become the human integration layer, holding it together by phone.
Resource navigation eats the day
Benefits eligibility, transportation vouchers, food and housing programs, medication assistance — each with its own form, portal, and waitlist. Finding and tracking them is half the job and none of the reimbursement.
Documentation that never ends
Intake notes, contact logs, consents, referral records, follow-up summaries. The paperwork that protects the client and the practice is also what keeps you at your desk after hours.
How the Elderberry Care Platform supports your work
Everything below is administrative and coordination support. We facilitate the work that connects clients to care — we never diagnose, and clinical and clinical-social-work decisions stay yours.
Care coordination across providers
The Care Team contacts each provider, confirms appointments, transfers records where you authorize it, and keeps one shared picture of who is involved in a client’s care — so you stop re-explaining the same situation to every office.
Resource & benefits navigation
We help track the programs a client is working through — eligibility checks, application status, renewal dates — and surface the documents each one needs, so nothing lapses for a missing form.
Structured intake & documentation
Consistent intake templates capture the information you need the first time, and contact logs and summaries are organized in one place — ready for your review and sign-off, not bolted on after the fact.
Secure patient & provider messaging
One encrypted thread connects the client, the Care Team, and the providers in the loop — with documents and updates shared right inside it, instead of voicemails and unsecured email.
Evidence surfacing with AskEvidence
AskEvidence returns evidence-grounded answers with citations — a reference tool you wield when you need to understand a condition or program quickly. It informs your work; it never makes the call for you. Learn more →
Closing the referral loop
When you make a referral, the Care Team follows it until it lands — the appointment booked, the records sent, the results routed back — so warm hand-offs don’t turn into dropped ones.
How it works
You stay in the driver’s seat. The platform and the Care Team carry the coordination load behind you.
Intake, structured
A client enters your workflow with a structured intake that captures the essentials once. You review and confirm — the record starts clean instead of scattered across sticky notes and a half-dozen tabs.
You set the plan
You decide what the client needs — which providers, which programs, which follow-ups. You set the parameters and the consents; the Care Team works only within what you authorize.
The Care Team executes
Real medical-assistant, coordinator, and administrative staff make the calls, fill the forms, transfer the records, and message the providers — tracking every step in one place you can see.
Loops close, you stay informed
Appointments are confirmed, applications are tracked to a decision, and results route back to you. You get a clear summary and a complete record — ready for your notes and your sign-off.
Real people doing real coordination work
The Care Team is made up of medical assistants, care coordinators, and administrative staff — not a call center, and not an algorithm acting on its own. AI is tooling our team uses to move faster; a real person owns every case.
An extension of your practice
You get coordination capacity without adding headcount. The Care Team works alongside you and your existing workflows, picking up the legwork you don’t have hours for.
You stay in control
You set the protocols — which records can move, which programs to pursue, when to bring something back to you. The platform follows your direction, and clinical and clinical-social-work judgment is always yours.
No in-house physicians, no emergencies
ElderberryMD does not employ in-house physicians and is not an emergency service. If a client is in crisis, the right answer is always 911 or a crisis line — never a callback from us.
Built for outpatient social workers and the teams around them
Clinic & practice-based social workers
Embedded in a primary care or specialty practice, you’re the one connecting medical care to everything outside it. The Care Team gives you the follow-through to make those connections stick.
Care management & complex cases
Clients with multiple conditions and multiple programs need sequencing and follow-up. The platform keeps the moving pieces — providers, benefits, referrals — in one coordinated view.
Solo & small-team social workers
When you’re the whole department, coordination capacity is the bottleneck. We add hands without adding payroll, so you can carry more clients well.
Aging & chronic-care populations
Older adults and people managing chronic conditions lean heavily on navigation support. Closing referral loops and keeping benefits current is exactly the work the Care Team is built to carry.
A simple, honest model: services and software.
Patients are always free. The Care Platform is priced to cost less than hiring — cheaper than competitors, with no surprise billing and no gimmicks. We use first-party data only: no third-party advertising pixels, no patient ad targeting, ever.
See pricingReady to get the coordination work off your desk?
Tell us how your outpatient social work runs today, and we’ll show you where the Care Team and the platform fit in — no commitment, no phone calls.
Contact us →