Table 2.

Program Staffing (Core Team Members).

Position	Education and Certification	Full-Time Equivalent	Role
Patient Care Coordinator (PCC)	High school diploma; AA Preferred	1.0 per 600 patients	Patient/family liaison. Facilitates care and communicates with family on an ongoing basis. Conducts the Introduction Screening Tool (secondary screen), leads ICT meetings.
RN Care Manager	Pediatric RN	1.0 per 9 PCCs	Supervises and provides education to PCCs, offers medical advice to families (when appropriate), prepares ICPs, interacts with specialty case managers and physicians.
Medical Director	Board-certified pediatrician with case management and quality improvement experience	0.25 per 9 PCCs	Final approval of all ICPs, attends ICT meetings, and coordinates care with primary and specialty care physicians.
Licensed Clinical Social Worker	Certified licensed clinical social worker	0.5 per 9 PCCs	Attends ICT meetings, addresses social determinants of health, family safety, and connects families to community resources.

Abbreviations: ICT, interdisciplinary care team; RN, registered nurse.