Registered Nurse Pediatric Travel AscensionRegistered Nurse Pediatric TravelHanover, MDOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
NewMEDICAL ASSISTANT-PHYSICIAN PRACTICES CPE LifeBridge HealthMEDICAL ASSISTANT-PHYSICIAN PRACTICES CPEGlen Burnie, MD$18.19–$27.29 / hourAs part of the LifeBridge Health network, Woodholme Gastroenterology delivers high-quality specialty care focused on the prevention, diagnosis, and treatment of digestive health conditions in a compassionate and collaborative outpatient environment. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Medical Assistant II - Pediatric Endocrinology Washington University in St LouisMedical Assistant II - Pediatric EndocrinologyWashingtonBasic Life Support - American Heart Association, Basic Life Support - American Red Cross, Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA), Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA), Licensed Practical Nurse - Illinois Department of Financial and Professional Regulation, Licensed Practical Nurse - Missouri Division of Professional Registration, Registered Medical Assistant (RMA) - American Medical Technologists (AMT), Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration. Assists with care coordination by doing tasks outlined under the department guidelines, such as calling patients with test results; scheduling appointments; assisting with return calls; scheduling surgeries, diagnostic procedures and admissions; and monitoring new and return patient contacts, including scheduling of appointments and follow-up appointments.
Pediatric Medical Assistant Kids Watch Primary Pediatrics and Urgent CarePediatric Medical AssistantFalls Church, Virginia$20–$22About Kids Watch Primary Pediatrics and Urgent Care: KidsWatch Pediatrics is a modern pediatric practice focused on making care more accessible, responsive, and family centered. About Kids Watch Pediatrics & Urgent Care: Kids Watch is a bright, modern pediatric center that blends primary care and urgent care —open daily to support families when they need us most.
Pediatric Cardiologist Needed for Locum Coverage at Inpatient Facility in Maryland LocumTenens.comPediatric Cardiologist Needed for Locum Coverage at Inpatient Facility in MarylandAnnapolis, MDVisitors can explore waterfront destinations featuring aquariums and marinas, attend baseball games at professional stadiums, and stroll along coastal boardwalks with museums, dining establishments, and wildlife areas throughout the year. The role requires board certification in Pediatric Cardiology and the ability to manage complex cardiac cases in both intensive care and step-down settings.
NewPrivate Duty Pediatric Nurse - Elkridge, MD Comprehensive Nursing Services IncPrivate Duty Pediatric Nurse - Elkridge, MDElkridge, MD$26–$42 / hourJob Requirements: Active/unrestricted nursing license in the State of Maryland or Multistate compact license - Licensed Practical Nurse or Registered Nurse. We invite you to explore a nursing career with our agency that will inspire you, encourage development, and allow you to work while managing your lifestyle needs in a career path you love.
Private Duty Pediatric Nurse - Annapolis, MD Comprehensive Nursing Services IncPrivate Duty Pediatric Nurse - Annapolis, MDAnnapolis, MD$26–$42 / hourActive/unrestricted nursing license in the State of Maryland or Multistate compact license - Licensed Practical Nurse or Registered Nurse. We are actively looking to hire compassionate, energetic LPNs & RNs to help care for our home healthcare clients.
Private Duty Pediatric Nurse - Ellicott City, MD Comprehensive Nursing Services IncPrivate Duty Pediatric Nurse - Ellicott City, MDIlchester, MD$26–$42 / hourActive/unrestricted nursing license in the State of Maryland or Multistate compact license - Licensed Practical Nurse or Registered Nurse. We are actively looking to hire compassionate, energetic LPNs & RNs to help care for our home healthcare clients.
Pediatric Clinic Certified Occupational Therapy Assistant (COTA) PediaStaffPediatric Clinic Certified Occupational Therapy Assistant (COTA)Rockville, MDThe Occupational Therapy Assistant works under the supervision of a licensed Occupational Therapist and is responsible for the providing occupational therapy services to supplement the Applied Behavior Analysis (ABA). We' re currently seeking a full-time Pediatric Clinic Certified Occupational Therapy Assistant - COTA (55K-65K) in the Rockville, MD area to work with clients from 18 months - 6 years.
NewPediatric Dental Assistant Dr. ToothfairyPediatric Dental AssistantFalls Church, Virginia$16–$20Ability to commute/relocate: Falls Church, VA 22046: Reliably commute or planning to relocate before starting work (Required). We are looking for a friendly, confident, go getter dental assistant to join our team of dental professionals.
Pediatric Medical Assistant Potomac Pediatrics PCPediatric Medical AssistantRockville, MDThe Certified Medical Assistant works as part of a healthcare team under the supervision of the Nurse Manager, Practice Administrator and Physician by assisting in planning and implementing care interventions while promoting high quality patient care in a professional, efficient and safe manner. Prepares and administers patient injections, performs blood draws, and processes in-house labs, prepares lab samples to be sent out to Quest or LabCorp.
Registered Nurse - Pediatric Emergency University Health Services IncRegistered Nurse - Pediatric EmergencyDCWe are seeking an experienced Pediatric Emergency Registered Nurse (Full Time-Nights) Our ideal candidate provides compassionate, high-quality emergency nursing care to infants, children, adolescents, and young adult patients in a fast-paced Pediatric Emergency Department setting. This full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and delivery, an ambulatory pavilion for physician offices, clinics, a community space, a 500-car garage and a helipad for emergency transports.
Nurse Manager - Pediatric Emergency University Health Services IncNurse Manager - Pediatric EmergencyDCThis full-service hospital includes trauma care with a helipad for emergency transport, adult and pediatric emergency departments, maternal health and newborn delivery, a NICU, Intensive care, Medical/Surgical care, Telemetry care, and a soon-to-be open ambulatory pavilion for clinic visits and other outpatient services. We are seeking an experienced Pediatric Emergency Department Nurse Manager Our ideal candidate will provide leadership and operational oversight for the Pediatric Emergency Department, ensuring the delivery of safe, high-quality, family-centered care to pediatric patients in a fast-paced emergency setting.
Registered Nurse - Float Pool - Pediatric Emergency/Adult Emergency University Health Services IncRegistered Nurse - Float Pool - Pediatric Emergency/Adult EmergencyDCThis full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and newborn delivery, an ambulatory pavilion for clinic visits and other outpatient services, a 500-car garage, and a helipad for emergency transport. Cedar Hill Regional Medical Center GW Health is the first new full-service hospital in Washington, DC in more than 20 years, integrating clinical care with existing community providers, Federally Qualified Health Centers (FQHCs), The George Washington University Hospital, and our Urgent Care Center in Ward 8.
Dental Assistant - Pediatric Dentistry Capital Kids Dentistry and OrthodonticsDental Assistant - Pediatric DentistrySilver Spring, MarylandPart timeAre you a passionate, dedicated professional looking to make a significant impact on patients' lives while enjoying a supportive work environment? With state-of-the-art facilities and a focus on patient comfort and satisfaction, we pride ourselves on delivering comprehensive pediatric dental services with a personal touch.
Pediatric Occupational Therapist Back 2 Basics Pediatric Therapy ServicePediatric Occupational TherapistEllicott City, Maryland$77,000–$117,000Do you love working with children and families—and want a role where your expertise is valued, your schedule is flexible, and your work makes a difference?. We are seeking an Occupational Therapist to join our multidisciplinary team and help children and teens reach their full potential.
NewPediatric RN Nurse Case Manager Sr. Elevance HealthPediatric RN Nurse Case Manager Sr.Washington, District of ColumbiaThe Pediatric Nurse Case Manager Sr will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Registered Nurse (RN) Pediatric ICU MedStar Health Research InstituteRegistered Nurse (RN) Pediatric ICUWashington, DC$41.77–$63.66 / hourThe PICU provides the highest level of care to critically ill medical and surgical patients including those requiring high-frequency oscillatory ventilation, continuous veno-venous hemofiltration and inhaled nitric oxide. As one of MedStar Georgetown's Centers of Excellence, the MedStar Georgetown Transplant Institute draws pediatric patients from all around the world for our growing program, which recently introduced pediatric living donor transplants and domino transplants.
Pediatric Nurse The Arc Montgomery CountyPediatric NurseMDPreform nursing duties for all children enrolled in the KFICCC program; assuring their safety and wellbeing as follows: Check medical forms of all incoming children toassurecomplete medical packets aresubmittedand update immunizations as required by childcare licensing. Communicate with others (Director of Children & Youth Services,Program Administrator,parents, physicians, therapists, childcare staff etc.)in order toassess, plan, implement, and evaluate the quality of care/services provided.
Physician Assistant or Nurse Practitioner - Nocturnist - Pediatric Emergency Medicine - Holy Cross Hospital - Silver Spring CEP America LLCPhysician Assistant or Nurse Practitioner - Nocturnist - Pediatric Emergency Medicine - Holy Cross Hospital - Silver SpringSilver Spring, MD$70–$90 / hourSports fans are close to the action with Washington, D.C.'s major league teams-the NFL Commanders, NBA Wizards, NHL Capitals, and MLB Nationals-all just minutes away. Silver Spring, Maryland is a vibrant and diverse community located just north of Washington, D.C., offering the perfect balance of urban convenience and suburban charm.
Pediatric Nurse Practitioner Marys Center for Maternal and Child CarePediatric Nurse PractitionerWashington, DC$118,560 / yearPart timePhysical Demands – Regularly required to sit; frequently required to reach with hands and arms; required to walk, stoop, kneel, crouch, talk or hear; must be able to lift objects up to twenty-five (25) pounds. Work Environment – Mostly in a typical clinical office setting with quiet to moderate noise level; a percentage of clinical care may be provided remotely depending on scheduling needs.
Pediatric Neurologist - Tri-Cities Seattle Children's HospitalPediatric Neurologist - Tri-CitiesTri-Cities, WashingtonTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Ensure coordination of care with patients and attending physicians, and collaboration with nursing, pediatric and other medical and surgical subspecialty services, community physicians and ancillary health team providers.
NewPediatric Clinic Director & Partner (PT, OT, or SLP License Required) Ivy Rehab Network, Inc.Pediatric Clinic Director & Partner (PT, OT, or SLP License Required)Reston, VAIf you are interested in learning more about our partnership model or want to sign up for one of our informational webinars click here or simply apply to this job ad so you can connect with our talent team: https://www.ivyrehab.com/take-care-of-your-dreams/ . Ivy‘s support with picking out the best clinic location, building and recruiting your dream team, marketing/business development, legal, compliance, patient engagement software, IT, HR, payor contracts, accounting, revenue cycle, etc.
RN Staff Nurse I - Pediatric Urologic Surgery Washington University in St LouisRN Staff Nurse I - Pediatric Urologic SurgeryWashingtonBasic Life Support - American Heart Association, Basic Life Support - American Red Cross, Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
RN Clinical Nurse Coordinator - Pediatric Endocrinology Washington University in St LouisRN Clinical Nurse Coordinator - Pediatric EndocrinologyWashingtonClinical Knowledge, Clinical Research Coordination, Database Management, Effective Written Communication, Electronic Medical Records (EMR), Emergency Situations, Epic EHR, General Nursing, Infection Control Nursing, Interpersonal Communication, Onboarding, Oral Communications, Patient Care Plans, Patient Education, Research Development, Research Methodologies, Safety Practices, Spreadsheets, Statistical Analysis Software (SAS), Team Leadership, Work Collaboratively Grade . Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional Registration.
Pediatric Clinic Based Occupational Therapist (OT) PediaStaffPediatric Clinic Based Occupational Therapist (OT)Columbia, MDWe' re currently seeking a full-time Pediatric Clinic Based Occupational Therapist - OT (80K-90K) in the Columbia, MD area to work with kids from birth to age 3. Join a fun & supportive, clinician-owned facility with mentorship and a focus on clinical quality! PediaStaff is a trusted leader in pediatric therapy and educational staffing solutions, connecting passionate professionals with rewarding school-based and clinic opportunities since 2004.
Pediatric Clinic Occupational Therapist - OT PediaStaffPediatric Clinic Occupational Therapist - OTWashington, DC$75,000–$85,000 / yearPediaStaff is a trusted leader in pediatric therapy and educational staffing solutions, connecting passionate professionals with rewarding school-based and clinic opportunities since 2004. Caseload includes a lot of low verbal or nonverbal kiddos, as well as children on the autism spectrum.
Pediatric Speech Language Pathologist Pediatric Developmental ServicesPediatric Speech Language PathologistArlington, VAIf you're passionate about communication and want to empower children in a setting designed to meet their developmental needs, a PDS pediatric therapy opportunity offers the perfect environment to make a lasting difference. Professional Development & Career Growth, including opportunities to mentor, join leadership teams, or specialize in areas like AAC, early intervention, or bilingual therapy.
Pediatric SLP-A Pediatric Developmental ServicesPediatric SLP-AWaldorf, MDAs a Speech-Language Pathologist Assistant (SLP-A), you spend most of your day utilizing your excellent communication skills as you interact with a diverse population of students, teachers, specialists, parents, and colleagues to improve the lives of the children you work with. Pediatric Developmental Services (PDS) provides the nation's public school districts, charter schools, and communities at large with highly qualified pediatric therapists, including speech, occupational, and physical therapists.
Pediatric Occupational Therapist Pediatric Developmental ServicesPediatric Occupational TherapistLaurel, MDPediatric Developmental Services (PDS) provides the nation's public school districts, charter schools, and communities at large with highly qualified pediatric therapists, including speech, occupational, and physical therapists. From finding and training the best pediatric therapists to partnering them with the right schools and clinics in need, PDS supports win-win initiatives for all.
Pediatric Physical Therapist Pediatric Developmental ServicesPediatric Physical TherapistWaldorf, MDPediatric Developmental Services (PDS) provides the nation's public school districts, charter schools, and communities at large with highly qualified pediatric therapists, including speech, occupational, and physical therapists. From finding and training the best pediatric therapists to partnering them with the right schools and clinics in need, PDS supports win-win initiatives for all.
Pre-Certification Coordinator I - Pediatric Allergy & Pulmonary Medicine Washington University in St LouisPre-Certification Coordinator I - Pediatric Allergy & Pulmonary MedicineWashingtonThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment of un-coded services.
NewPediatric ABA Clinic Director & Investing Partner (BCBA license required) Ivy Rehab Network, Inc.Pediatric ABA Clinic Director & Investing Partner (BCBA license required)Chantilly, VAIvy‘s support with picking out the best clinic location, building and recruiting your dream team, marketing/business development, legal, compliance, patient engagement software, IT, HR, payor contracts, accounting, revenue cycle, etc. Whether you currently have leadership experience or are looking to take the next step in your career, we will provide all the necessary training and development needed before you open your clinic and start growing your team!
Part-Time Pediatric Clinic Speech Language Pathologist (SLP) - Fairfax Achieve Beyond Pediatric Therapy & Autism ServicesPart-Time Pediatric Clinic Speech Language Pathologist (SLP) - FairfaxFairfax, VirginiaWe currently offer our services in the entire metro New York area (including the five boroughs of NYC, Hudson Valley and Long Island) and Albany, New Jersey, Connecticut, Delaware,and the Virginia/ Maryland/ DC area. Full practice management we take care of intake, staffing, billing, tracking authorizations, insurance correspondence and maintenance of your certifications, so you are able to focus on providing our children with the best services!
Full-Time and Part-Time Pediatric Occupational Therapists Fitness For Health IncFull-Time and Part-Time Pediatric Occupational TherapistsRockville, MDPosition Overview: We are expanding and seeking creative, licensed full-time and part-time Pediatric Occupational Therapists with experience in pediatrics, including autism spectrum disorders, developmental/genetic disorders, and learning disabilities. Our state-of-the-art facility offers a multi-sensory environment unlike any other, equipped with high-tech exergaming equipment designed to help children take risks, develop new skills, and maximize their potential.
ON-CALL Pediatric Surgeon Le CYR ConsultingON-CALL Pediatric SurgeonBethesda, MarylandThe On-Call Pediatric Surgeon shall provide comprehensive pediatric surgical services in accordance with Medical Treatment Facility (MTF) policies, standing orders, and clinical protocols, including but not limited to: Perform the full range of general pediatric surgical services . The Contractor Health Care Provider (HCP) shall: Be able to read, write, speak, and understand English sufficiently to communicate effectively with patients and healthcare staff.
Pediatric Urgent Care Nurse Practitioner PM PediatricsPediatric Urgent Care Nurse PractitionerRockville, MarylandProvide expert assessment and treatment of acute injuries and illnessesfor both in-person and telemedicine patients, including but not limited to the management of the febrile infant/child, ear/nose/throat infections, pediatric abdominal pain, anaphylaxis, procedural anxiolysis, respiratory distress, croup, and asthma. Collaborate with both on-site and telemedicine teamsto assure completion of daily tasks, including but not limited to lab and radiology result review, patient follow-up, and timely responses to patient calls and questions. .
Registered Nurse (RN) Pediatric ICU MedStar HealthRegistered Nurse (RN) Pediatric ICUWashington, DC$41.77–$63.66 / hourThe PICU provides the highest level of care to critically ill medical and surgical patients including those requiring high-frequency oscillatory ventilation, continuous veno-venous hemofiltration and inhaled nitric oxide. As one of MedStar Georgetown's Centers of Excellence, the MedStar Georgetown Transplant Institute draws pediatric patients from all around the world for our growing program, which recently introduced pediatric living donor transplants and domino transplants.
Pediatric Anesthesiologist MedStar Health Research InstitutePediatric AnesthesiologistDC$490,000–$520,000 / yearWe are a not-for-profit, acute care, teaching, and research hospital with 609 beds located in northwest Washington, D.C. MedStar Health is proud to be the long-standing clinical and medical education partner of Georgetown University. MedStar Health has also been recognized as one of "America's Greatest Workplaces" by Newsweek for Inclusion/Diversity, Women, Parents & Families, Gen Z, Mental Wellbeing, Healthcare, and other categories as well as one of "America's Best Employers" by Forbes.
Pediatric Emergency Technician University Health Services IncPediatric Emergency TechnicianWASHINGTON, DCResponsibilities Cedar Hill Regional Medical Center Cedar Hill Regional Medical Center GW Health is the first new full-service hospital in Washington, DC in more than 20 years, integrating clinical care with existing community providers, Federally Qualified Health Centers (FQHC's), The George Washington University Hospital, and our Urgent Care Center in Ward 8. This full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and newborn delivery, an ambulatory pavilion for clinic visits and other outpatient services, a 500-car garage, and a helipad for emergency transport.
Pediatric LPN - Homecare Overnights - Trach/Vent Maxim Healthcare Services IncPediatric LPN - Homecare Overnights - Trach/VentVA$33–$35 / hourMaxim Healthcare Services is seeking a Registered Nurse (RN) OR Licensed Practical Nurse (LPN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. At Maxim Healthcare Services, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks.
Overnight Pediatric RN - 1 on 1 Trach/Vent Homecare Maxim Healthcare Services IncOvernight Pediatric RN - 1 on 1 Trach/Vent HomecareVA$44–$46 / hourMaxim Healthcare Services is seeking a Registered Nurse (RN) OR Licensed Practical Nurse (LPN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. At Maxim Healthcare Services, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks.
Registered Nurse (RN) NRH Pediatric Rehab 3W MedStar Health Research InstituteRegistered Nurse (RN) NRH Pediatric Rehab 3WDC$40.33–$54.92 / hourThe rehabilitation clinical nurse is a key member of the interdisciplinary team to deliver patient-centered rehabilitation nursing services to individuals with a disability and/or chronic illness to attain and maintain maximum function. The Pediatric Rehab Unit 3 West is a 7-bed inpatient unit dedicated to the rehabilitation of pediatric patients aged 3 to 18 years old and a Joint Service of MedStar National Rehabilitation Hospital and Children's National Health System.
Pediatric Physical Therapy Assistant IvyrehabPediatric Physical Therapy AssistantSpringfield, VirginiaLet’s come together to provide patients with access to world-class care and outcomes for those in need of physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. By promoting authenticity, inclusion, growth, community, and a passion for providing exceptional care to every single patient, we provide the resources and support necessary to invest in our clinicians. .
NewRegistered Nurse/Pediatric Dialysis IMCS Group IncRegistered Nurse/Pediatric DialysisWashington, DCPending License accepted: A pending license is acceptable at the time of submission, but if the candidate is offered the position, they must have a valid license before the start date. Total Staffed Beds: 323 inpatient beds 70 dedicated to Neonatal ICU.
Travel Nurse (RN) - PICU (Pediatric Intensive Care Unit) Epic Travel StaffingTravel Nurse (RN) - PICU (Pediatric Intensive Care Unit)Washington, DCBy applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes. We`ll be your ticket to the travel RN - Pediatric Intensive Care Unit job you`ll love with unparalleled recruiter support and industry-best benefits.
Pediatric Critical Care Transport EMT Paramedic Nights Inova Health SystemPediatric Critical Care Transport EMT Paramedic NightsFalls Church, VAWith expertise in the pre-hospital setting, the Paramedic is ensures that while in the out-of-hospital setting, the transport team is working in a safe and secure environment, provides family-centered care to meet family needs, including psychosocial support, education and transfer planning in conjunction with referral staff.\n \nJob Responsibilities\n\n Reports to Medical Control Physician (MCP) and Nursing director of the transport program for the supervision and guidance in expanded role function.\n We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation\n \nThe Critical Care Transport Emergency Medical Technician Paramedic practices within the guidelines of the protocols for the transport program that are reviewed and agreed on by medical and nursing directors.
Pediatric Speech-Language Pathologist Premier Pediatric Therapy SourcePediatric Speech-Language PathologistAnnandale, VirginiaBeyond the treatment room, you’ll help shape what makes PPTS so special—from contributing to program development that expands our reach and raises the bar on care, to helping keep the fun alive through our celebrations committee and office-wide events. About Premier Pediatric Therapy Source: We are a fast growing multi-disciplinary Pediatric Therapy Practice with the sole mission to provide high quality therapy solutions based on the individual needs of children and families.