Coordinated, Compassionate Care for Children with Chronic Conditions
Children with complex medical needs require a high level of coordinated care. Our care management team includes pediatricians, nurse care managers, behavioral health clinicians, and support staff, all working together so our patients receive the best standard of care. The team is responsive to families, answering questions and ensuring every child is treated with respect and dignity.
Schedule a Visit
Does your child have complex medical needs? Our expert team is here to help your family navigate the high level of coordination their care requires.
If you’d like more information about pediatric care management, please talk to your child’s pediatrician. We’re also happy to help you verify your care management benefits with your insurance provider.
Care Management Services
Our team specializes in managing and coordinating care for complex or chronic conditions, such as:
- Birth defects
- Developmental delays
- Down syndrome
- Genetic or metabolic conditions (e.g., diabetes)
- Growth or weight faltering
- Neurodevelopmental disorders (e.g., ADHD, autism, cerebral palsy)
- Obesity
- Prematurity
- Seizure and neurological disorders (e.g., epilepsy)
- Special equipment needs (e.g., breathing or feeding tubes, wheelchairs, and other assistive devices)
Administrative Support
We also help families navigate the logistics of care, including:
- Referral coordination for specialist care
- Insurance authorization assistance
Healthier Kids, Supported Families
The care management team works to improve your child’s quality of life, reduce hospitalizations, and relieve some of the stress that comes with caring for a loved one with special health needs. The detailed coordination of a patient’s care also allows us to better treat complex health conditions, leading to better outcomes and family support.
Here’s what families with complex care needs can expect from our team:
- Coordinated communication between the patient’s multiple providers and their family.
- Monitoring the patient’s progress and making adjustments to their care plan as needed.
- Help navigating the complexities of the healthcare system and scheduling outside appointments.
- Information management to help you understand healthcare jargon, diagnoses, and other medical questions.
- Support during stressful moments while dealing with complex medical conditions.
Complex Care FAQs
What is complex care management for kids?
Complex care management is a higher level of coordinated pediatric care for children with chronic or multiple health conditions. It brings together a team of pediatricians, nurse care managers, and behavioral health experts, all working together on a treatment and support plan.
When does a child need complex care management?
A child may need complex care management if they have ongoing or chronic medical conditions, frequent hospital visits, or require help managing multiple specialists. It ensures their care is organized and less stressful for families.
Does complex care management include autism and ADHD?
Yes. Complex care management often supports children with developmental and behavioral conditions, such as autism, ADHD, and cerebral palsy. The care team works with families to provide ongoing medical and behavioral health support.
Can complex care management help reduce hospital visits?
Yes. By closely monitoring a child’s health and coordinating with specialists, complex care management can reduce unnecessary hospital visits. It helps families manage care at home and improves long-term outcomes.
How is complex care management different from regular pediatric care?
Regular pediatric care focuses on routine checkups, immunizations, preventive medicine, and care for common illnesses. Complex care management is provided for children with multiple or chronic conditions who need more coordinated, long-term medical support.
Does complex care management support mental health too?
Yes. Many complex care programs include behavioral health support. At Metro Pediatrics, our behavioral health specialists work alongside pediatricians to care for a child’s emotional and physical needs.
What age group is complex care management for?
Complex care management is available for children of all ages, from newborns to teenagers. The type of support depends on each child’s specific medical needs.
What specialists work with the complex care management team?
The team may include pediatricians, nurse care managers, behavioral health providers, community health workers, and specialists, such as neurologists, geneticists, or therapists. Metro Pediatrics provides referrals to pediatric specialists and maintains contact for coordinated support.
How often will my child see the complex care management team?
The frequency depends on your child’s needs. Some children may need regular visits, while others may be monitored with fewer appointments and ongoing check-ins.
Does complex care management include home support?
Yes, complex care management teams often help families manage care at home. This may include providing support with medical equipment, therapy needs, and home health resources. Additionally, our community health workers at Metro Pediatrics connect patients with social services and resources, such as housing, food assistance, and transportation to and from medical appointments.
What’s the first step to start complex care management?
The first step is to talk with your child’s pediatrician. They can help you understand if complex care management is right for your child and guide you through enrollment.
Can complex care management improve my child’s daily life?
Yes. Complex care management reduces stress, improves coordination, and supports both medical and emotional needs, making daily life easier. Families at Metro Pediatrics often feel more supported in their routines.