Children and young adults up to 21 years old with complex medical needs are eligible for nurse level care coordination at their medical home throughout the Denver Health System.
We provide a specialized and coordinated approach to managing the medical, behavioral and social needs of children with multiple chronic medical conditions. Care is both family-centered and evidence-based and our team works hard to prevent unnecessary medical visits and hospitalizations.
Who Qualifies?
Children requiring home health assistance and durable medical equipment may be eligible. Diagnoses include:
- Extremely premature and very low birth weight infants and toddlers
- Cerebral palsy and other neuromuscular disorders
- Spina bifida
- Children requiring feeding tubes (any type)
- Trisomy 21 (Down Syndrome)
- Many other genetic and congenital diagnoses
- Children recovering from major trauma
- Children with multiple significant medical diagnoses requiring multiple subspecialists.
Complex Care Clinic (CCC)
For families that are interested, we also have a multidisciplinary clinic for these patients. It provides primary care or consults for patients that qualify. Our team members all have years of experience caring for children and youth with special health care needs.
The team includes:
- Nurse Care Coordinators (see below)
- Family Navigator – Maria Eugenia Marin
- Pediatric Registered Dietitian – Kelsey Hughes, RD
- Licensed Clinical Social Worker – Cori - LCSW
- Licensed Mental Health Provider- Monica Abdul Chani, PhD
- Pediatric Physical Therapists – Shawn Jackson, MS-PT
- Pediatric Occupational Therapist – Jacklyn Deck, MS-OTR-L
- Pediatric Dentists
- Pediatricians and Nurse Practitioners
- Philip Miller, MD, FAAP – CCC Medical Director
- Cassana Littler, MD, FAAP
- Mary Vostrejs, MD, FAAP
- Rebecca Freeman, PNP, MPH
- Anne Kay, PNP
Our team works closely with subspecialists at Denver Health and other area pediatric specialty sites so that our patients can lead the healthiest lives possible. Clinic visits are longer (1-2 hours) allowing each team member to assess the patient when needed.
Our Care Navigator can help with scheduling and often with transportation.
Accommodations can be made for children with special sensory needs (like low lights, fidgets, weighted lap pad, ear protection, and I-pads).
Contact Info
Care Coordination is available to all Denver Health patients that qualify at any of our sites Monday through Friday. Complex Care Clinic sees patients on Monday mornings and Wednesday afternoons except on holidays. It is located at:
Wellington Webb Center for Primary Care – first floor
301 W. 6th Ave
Denver, CO 80204
Parents and legal guardians of children with any of the diagnoses listed above may call: 303-602-8340 – Option 5 to request an appointment. If the patient is new to Denver Health, you may need to schedule a new patient visit before seeing Complex Care Clinic.
For medical offices and hospitals only, please use these numbers:
- Clinic fax number: 303-602-8348
- Complex Care Coordination Email: DHPedsRNCC@dhha.org
- Care Coordination phone: 303-602-8381
Nurse Care Coordinators (RNCCs)
Each of our RNCCs cover specific clinics and can help all pediatric and family medicine providers at Denver Health and Denver Health School-Based Health Centers.
Debbie Klee, RN, and Denise Iverson, RN – cover Denver Health’s Westside Clinic, Southwest Health Care Clinic (Pena), La Casa, Sloan’s Lake and Westwood clinics.
Fax: 303-436-4409
Miranda Frye, RN covers our Eastside, Park Hill, Montbello, and Lowry Clinics. Sandra Bauer, RN covers the Connections for Kids Clinics.
Fax: 303-436-4665
Alyssa Bragg, RN, and Allison Windes, RN cover Webb Pediatrics and the School-Based Health Centers in Denver Public Schools.
Fax: 303-602-8348
