Services
Specialized care management

Services

Specialized care management

Personalized support for complex healthcare situations

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Let us connect the dots for your child’s care

Managing your child’s health can sometimes be overwhelming — especially during or after hospital stays, if your child has ongoing treatment for a chronic condition, or if you are dealing with unmet social needs. Our Patient-Centered Medical Home program is certified by the National Committee for Quality Assurance (NCQA) for achieving high standards of care. Our approach helps ensure that your child’s care is continuous and comprehensive, so nothing gets overlooked. It’s like having a medical assistant of your very own.

Hospital discharge planning

Avoid confusion and missed care after a hospital stay

Chronic disease management

Individual care plans to help manage your child’s condition

Continuity of care

Assistance with specialist referrals, labs, and follow-ups

Breaking social barriers

Access to trusted community resources that can help

Delivering continuity of care

Whether your child is recovering from a hospital stay, managing a chronic condition like asthma or diabetes, or needs to connect with community resources, the care coordinators at Kids Plus are here to guide you.

Our team specializes in creating individual care plans that ensure your child’s medical needs will continue to be met — and a big part of that is communication between you and your child’s care team. Kids Plus care coordinators help track referrals, follow up on pending test results, and so much more.

Smoother transitions and follow-up care

Your family may be juggling jam-packed schedules, work commitments, other children, and more. Kids Plus has care coordinators at every location to ensure that all post-discharge instructions are followed, medications are reviewed, and appointments with specialists are scheduled on time.

Our care coordinators also assist you with transitions between different care settings, such as bringing your child from the hospital to home. With our care coordinators working for you, you can focus less on behind-the-scenes details and more on helping your child feel better.

What is specialized care management, and how do you benefit from it?

Specialized care management is designed to avoid gaps in your child’s care by proactively guiding your family through any complex medical or social circumstances. Our care coordinators help ensure smoother transitions, timely follow-ups, and better health outcomes for your child.

Addressing barriers to care

Our care coordinators also work to identify and address any barriers to care your family might be experiencing, such as lack of transportation, food insecurity, or mental health issues.

We accomplish this by connecting Pittsburgh families to trusted resources in our community that can provide them with assistance. If you are feeling overwhelmed or alone, our care coordinators can try to ease your burden.