Services
Specialized care management

Services

Specialized care management

Personalized support for complex healthcare situations

Call 888-776-5252 to book an appointment

The highest standards in managing your child's care

Managing your child’s healthcare can sometimes feel overwhelming — especially during hospital discharges, ongoing treatments for a chronic illness, or dealing with unmet social needs. Our patient-centered medical home approach makes care more accessible and ensures that care is both comprehensive and culturally competent.

Hospital discharge planning

Avoid confusion and missed care after a hospital stay

Chronic disease management

Individual care plans to help manage your child’s illness

Continuity of care

Assistance with specialist referrals, labs, and follow-ups

Breaking the barriers

Access to social workers and trusted community resources

Ensuring continuity of care

Whether your child is recovering from a hospital stay, managing a chronic illness like asthma or diabetes, or needs help connecting with community resources, the Care Management team at MD Kids Pediatrics is here to guide you.

Collaborating closely with your pediatrician, our team specializes in creating individual care plans that ensure your child’s medical needs will continue to be met. Ongoing communication between you and your child’s care team is a major part of that. Care coordinators and referral specialists will work to track referrals, follow up on pending test results, and more — all within your medical home.

Handling the behind-the-scenes details

Many families are juggling busy schedules, work commitments, and other children. As part of your primary care team, the Care Management team helps ensure that any post-discharge instructions are followed, medications are reviewed, and appointments with specialists are scheduled on time.

We also help facilitate communication between your child’s care providers and assist with transitions between different care settings — such as bringing your child from the hospital to home. With the Care Management team supporting you, you can focus less on the behind-the-scenes details and more on helping your child get better.

What is care management, and how does your child benefit from it?

Our Care Management program is designed to avoid any gaps in your child’s care by proactively guiding families through complex medical or social circumstances. Working together with you and our team of pediatricians, medical assistants, nurses, care coordinators, and more helps ensure smoother transitions and better outcomes.

Addressing any barriers to care

Our Care Management team also works to identify and address any barriers to care your family might have, such as lack of transportation, food insecurity, or mental health needs.

We accomplish this by connecting families to trusted resources in their community that they can contact for assistance. If you are feeling overwhelmed or alone, our Care Management team will try to help ease the burden.