About Our Program
At Diadem Hearts, the Recovery Management Entity (RME) program assures that people with serious mental illness receive the ongoing assistance and coordination they need to heal, rebuild, and restore their relationships. With the objective to help each individual in thriving in their community with dignity and consistency, we emphasize ongoing recovery through comprehensive care planning, multidisciplinary teamwork, and compassionate guidance.
Developing a Framework for Lifetime Recovery
Our Recovery Management services have been developed for individuals that require ongoing care and monitoring after being discharged from the hospital or undertaking extended treatment. We integrate grassroots approaches with medical understanding to make sure that all individuals have the resources that they require to achieve sustainable health, independence, and purpose.
Core Features and Services
Complete Case Coordination
Continuing management of individualized recovery plans personalized to the unique requirement of each patient.
Connection to Resources
Supporting patients' access to employment, housing, medical care, educational opportunities, and chances for full recovery.
Multidisciplinary Teamwork
To ensure trustworthy and high-quality care, licensed professionals, managers of cases, and peer specialists cooperate with each other.
Continuous Monitoring and Advocacy
Providing fair equitable access to services provided by communities, progress monitoring, and accountability.
Transition Support
Promoting an easy integration from hospital to society following mental health treatment or hospitalization.
Who Qualifies for Recovery Management Entity (RME)
Our Recovery Management services assist individuals on their path from treatment to community restoration, rehabilitation to ensure endurance, stability, and personal growth.
Mental Health Patients
Patients handling severe or persistent mental health situations.
Patients Aftercare
People who are transitioning from residential or hospital treatment to community living.
Medicaid Participants
Patients who are eligible under the HCBS-AMH Medicaid program.
Goal-Oriented People
Those who are seeking accountability and guidance for continuing recovery goals.
Independent Living Seekers
Individuals who are working toward stable and self-reliant community life.
Reintegrating into the Community
Patients who are advancing professional, social or family connections aftercare.
Challenges We Solve
Addressing critical gaps in mental health care with comprehensive solutions and ongoing support.
Fragmented Care Transitions
Many individuals decline after hospital discharge due to lack of structured follow-up, our coordinated approach prevents that.
Restricted Access to Services
We eliminate barriers by linking individuals with essential community resources and Medicaid cares.
Emotional Instability and Isolation
We help patients rebuild confidence and connections within their community through regular engagement.
Complex Case Navigation
Our skilled recovery managers guide patients through every aspect of recovery with expertise and empathy.
Recovery Managers Responsibilities
Monitor Quality of Services
Monitor and check the progress as well as quality of services accepted by the participants. Serve as an intermediary to ensure that participant receive inclusive and coordinated care personalized to their specific needs. Provide accessibility to required Medicaid services, as well as social, educational, and medical regardless of funding source.
Coordinate Required Services
Coordinate needed services by organizing, managing and aligning different resource services to ensure they work together efficiently and effectively to meet the participants’ specific needs in recovery. Link the participant and services for processing, coordinating, and integrating various social services needs to advance their care and outcome.
Advocate And Help Participants
Advocate and support participants in getting around their complicated network of services. Support them understand their medical options and needs; while ensuring they receive the best possible care and advocate for their rights. Advocation can support with various aspects of healthcare such as appointments, treatment plans, and insurance disputes.
Facilitate Social Services
Facilitate social services by serving the participant dealing with challenges and achieve their goals while accessing necessary resources and programs. Provided support is given through various services including civil matters and cases, counseling, crisis intervention, and community resource guidance.
Delivery Of Essential Services
Assist with a range of responsibilities that support the delivery of essential services to the participants and communities they reside in, with a crucial role in providing logistical support, direct interaction with the participant and their supporters.
Our Approaches: How It Operates
A systematic approach to recovery that ensures comprehensive care and sustainable outcomes.
Planning and Valuation
We start by conducting an in-depth assessment to determine the requirements of each client, objectives, and strengths.
Personalized Recovery strategy
A personalized, measurable strategy developed together with the patient's support system.
Connecting to Services
Connecting to social, housing, and healthcare resources which encourage a sense of independence.
Ongoing Monitoring
In order to guarantee recovery stability and prompt intervention where necessary, regular registrations and progress assessments are carried out.
Empowerment and Transition
Through guided independence, this approach increases confidence, independence, and a lifetime of wellness.
Counties We Serve
We proudly provide Recovery Management in the following counties:
- Bexar
- Collin
- Dallas
- Denton
- Ellis
- Johnson
- Kaufman
- Mc Lennan
- Navarro
- Rockwall
- Smith
- Tarrant
- Hunt
- Bosque
- Freestone
- Limestone
- Falls
- Hill
- Erath
- Hood
- Palo Pinto
- Parker
- Somervell
- Cherokee
- Anderson
Who Benefits the Most
- Adults who want structured, ongoing recovery assistance due to Serious Mental Illness (SMI).
- People departing residential treatment facilities or mental hospitals.
- People who tend to end up in the hospital, are arrested, or visit the ER.
- Families seeking stability and guidance during the healing process of a loved one.
Assessment Form
Person interested in Recovery Management services must complete an eligibility and assessment process through their Medicaid Managed Care Organization (MCO). Although Diadem Hearts does not directly provide this form but our devoted team offers full guidance from referral submission to ensuring your recovery plan is personalized to your goals and requirements.