SouthernMED Pediatrics

• Coordinate care plans for pediatric patients with medical, behavioral, and social needs • Collaborate daily with nurses, social workers, and providers to implement and monitor care plans • Serve as a primary point of contact for families, assisting with scheduling, referrals, and follow-up • Track patient progress, document interventions, and maintain accurate records in the EMR and Care Management System • Facilitate communication between internal teams and external providers, specialists, and community resources • Identify gaps in care and escalate concerns to clinical staff as appropriate • Support transitions of care (e.g., hospital discharge, specialty referrals) • Ensure compliance with care management protocols and quality standards