Care coordination and paperwork
Service Area

Miami, Florida

A practical starting point for coordinating care: local hospitals, caregiver support, meals, in-home help, therapy, hospice, and public programs.

Non-clinical administrative coordination. Not an emergency service.

Starting point: This page is a curated set of common resources—not a complete directory, ranking, or partner list. Please confirm details with each organization. Suggest an update.

Local snapshot

Coordinating care in Miami often means juggling multiple hospital systems and many outpatient campuses spread across the county. Jackson Memorial’s large Medical District campus, Baptist Health facilities from Kendall to the coast, and Mount Sinai on Miami Beach all serve families—but they each use their own scheduling desks, medical-records workflows, and patient portals. Add South Florida traffic, bridge/causeway crossings, and parking logistics, and even a “simple” follow‑up visit can take extra planning.

For day‑to‑day caregiving support, Miami‑Dade families commonly start with the Area Agency on Aging/ADRC (Alliance for Aging), county human-services programs, and Florida’s SHINE Medicare counseling network. If a parent is in a nursing home or assisted living, Florida’s Long‑Term Care Ombudsman district offices in Miami can help families understand the complaint process and residents’ rights.

Where to start (especially if you’re remote)

  • Create a one-page “care profile” (med list, allergies, diagnoses, current doctors, pharmacies, insurance member IDs, emergency contacts). Share it with siblings.
  • Ask each clinic/hospital for proxy access in the patient portal (or an ROI form) so you can help with scheduling, messages, and records—especially if you live out of state.
  • Keep a running “open loops” list: pending referrals, labs, imaging, durable medical equipment, home services, and paperwork that needs signatures.
  • After any ER visit or hospitalization, request the discharge summary and medication reconciliation before you leave (or through the medical-records process).
  • When you need unit or nurse-station numbers, call the hospital’s main operator and ask to be transferred—avoid relying on old numbers saved in phones.
  • For specialist visits, confirm: location/campus, parking instructions, arrival time, and what paperwork or imaging needs to be brought to the appointment.
  • If multiple family members are involved, set a weekly 10-minute check-in and decide who is the single point of contact for each provider office.
Averyn can help
with the follow-through

Let an Averyn Care Navigator take on the “stuck in the middle” tasks:

  • Scheduling and rescheduling across multiple providers
  • Referral follow-up, pre-auth paperwork, and portal threads
  • Clear written updates that keep family aligned

Non-clinical administrative coordination (not medical advice, triage, or emergency monitoring).

Major health systems near Miami

Phone trees and campus details change—use the official directories linked below.

Hospital / health system
Jackson Memorial Hospital (Jackson Health System)

Major public teaching hospital in the Miami Health District; common hub for specialty care and complex discharges.

Address: 1611 NW 12th Ave, Miami, FL 33136

Main: (305) 585-1111

Official info

Hospital / health system
Baptist Hospital of Miami (Baptist Health South Florida)

Large community hospital serving Miami-Dade; many services route through centralized scheduling and department phone trees.

Address: 8900 N Kendall Dr, Miami, FL 33176

Main: (786) 596-1960

Official info

Hospital / health system
Mount Sinai Medical Center (Miami Beach)

Hospital on Miami Beach; travel time and bridge traffic can be a factor for follow-ups and caregiver visits.

Address: 4300 Alton Rd, Miami Beach, FL 33140

Main: (305) 674-2121

Official info

Hospital / health system
HCA Florida Kendall Hospital

Acute-care hospital serving west/central Miami-Dade; confirm campus details when multiple HCA facilities are involved.

Address: 11750 Bird Rd, Miami, FL 33175

Main: (305) 223-3000

Official info

Caregiver support groups (in and around Miami)

Meeting times can change—confirm on the organization’s site before you go.

Caregiver support group
Alzheimer’s Caregivers Support Group (Village of Pinecrest)

Schedule: Every 2nd Friday of the month, 12:30 PM – 2:00 PM

Location: Pinecrest Community Center, 5855 Killian Dr, Pinecrest, FL 33156

Address: Pinecrest Community Center, 5855 Killian Dr, Pinecrest, FL 33156

Phone: (305) 284-0900

Hosted at the Pinecrest Community Center. If you plan to attend for the first time, call ahead in case of holiday or facility schedule changes.

Details

Caregiver / family support group
NAMI Miami-Dade Family Support Group (In Person)

Schedule: 3rd Friday of the month, 7:00 PM – 8:30 PM

Location: Coral Gables Congregational Church, 3010 De Soto Blvd, Coral Gables, FL 33134

Address: Coral Gables Congregational Church, 3010 De Soto Blvd, Coral Gables, FL 33134

Phone: (305) 665-2540

Peer-led support group for family members and caregivers. Confirm meeting dates around holidays or special events.

Details

Local aging supports & caregiver resources

Area Agency on Aging / ADRC
Alliance for Aging, Inc. (Area Agency on Aging / ADRC – Miami-Dade & Monroe)

Address: 760 NW 107th Ave, Suite 214, Miami, FL 33172

Phone: (305) 670-6500

Starting point for many aging-services questions (caregiver support, benefits counseling, and community programs).

Website

Long-term care ombudsman
Florida Long-Term Care Ombudsman Program — North Dade District Office

Address: 7800 NW 25th St, Suite 200, Miami, FL 33122

Phone: (305) 273-3294

Helps residents and families with concerns in nursing homes, assisted living, and adult family care homes. Serves the North Dade area (see district offices page for coverage details).

Website

Long-term care ombudsman
Florida Long-Term Care Ombudsman Program — South Dade & Florida Keys District Office

Address: 14865 SW 211th St, Suite 210, Miami, FL 33196

Phone: (305) 273-3250

Helps residents and families with concerns in nursing homes, assisted living, and adult family care homes. Serves South Dade and the Florida Keys (see district offices page for coverage details).

Website

Meals & nutrition support

  • Miami-Dade County — Meals for the Elderly (Home Delivered Meals / Senior Center Meals)(786) 469-4707details
    County program with home-delivered meals and nutrition support; call for eligibility and enrollment details. If transportation is a barrier, ask about nearby senior centers or home-delivered options.
  • Food for Life Network — Home Delivered Meals and Groceries Program305-576-FOODdetails
    Call for service area and delivery availability; eligibility can vary by program.
  • Jewish Community Services (JCS) — Kosher Home Delivered Meals Program(305) 576-6550details
    Kosher meals program; call JCS for eligibility, service area, and enrollment details.

In-home help (private pay)

Home health, therapy & human services

A few common starting points. Confirm service area and insurance details directly.

Skilled home health
Home health agencies
Rehab & therapy
PT / OT options
  • FOX Rehabilitation — In-Home PT/OT(877) 407-3422website
    In-home PT/OT provider; ask about clinician availability in your Miami-area ZIP code.
Human services
Community support
  • Miami-Dade Transit — Special Transportation Service (STS)(786) 469-5000website
    Reservations: (305) 871-1111. Ask about eligibility, certification, and scheduling lead times.

Hospice & palliative support

Hospice / palliative support
VITAS Healthcare — Miami Hospice

Address: 11731 Mills Dr, Suite 109, Miami, FL 33183

Phone: (305) 420-2800

Hospice provider; call for intake, eligibility, and service area coverage.

Website

Hospice / inpatient hospice
Catholic Hospice — Inpatient Care Center at St. Anne’s Nursing Center

Address: 11855 Quail Roost Dr, 2nd Floor, Miami, FL 33177

Phone: (305) 235-9655

Catholic Hospice inpatient care center; call to confirm visiting policies and referral/intake steps.

Website

FL statewide programs & hotlines

Looking for more? Visit the full state resource page: FL.

Help numbers

  • Florida Abuse Hotline (Report abuse, neglect, or exploitation): (Adult protective services reporting) (800) 962-2873website
    Use this hotline to report suspected abuse, neglect, or exploitation (including concerns about vulnerable adults).
  • Florida Elder Helpline (Department of Elder Affairs): (Aging services hotline) (800) 963-5337website
    Starting point for many aging-services questions and referrals (often routes to local Area Agencies on Aging / ADRCs).
  • Florida Long-Term Care Ombudsman Program: (Long-term care ombudsman) (888) 831-0404website
    For concerns about nursing homes, assisted living facilities, or adult family care homes. Local district offices are listed on the district offices page.

See the full state page: FL

National programs & directories

Helpful starting points for benefits and caregiver support that apply nationwide.

National resource
Medicare (official program)

Use 1-800-MEDICARE for coverage questions, plan finder, claims, and appeals.

Phone: 800-633-4227

Official info

National resource
Eldercare Locator (ACL)

Find local Area Agencies on Aging, caregiver resources, and services by ZIP code.

Phone: 800-677-1116

Official info

National resource
211 (United Way / local social services)

Local referrals for food, housing, transportation, caregiving help, and more.

Phone: 211

Official info

National resource
988 Suicide & Crisis Lifeline

24/7 crisis support. Dial 988.

Phone: 988

Official info

National resource
Social Security Administration

Benefits, replacement cards, and general SSA services.

Phone: 800-772-1213

Official info

National resource
U.S. Department of Veterans Affairs (VA)

Main VA information line.

Phone: 800-698-2411

Official info

National resource
Alzheimer’s Association 24/7 Helpline

Support and information for dementia caregivers.

Phone: 800-272-3900

Official info

National resource
SNAP (Supplemental Nutrition Assistance Program) — State directory

SNAP is administered by states. Use the directory to find your state agency contact info.

Official info

National resource
Medicaid & CHIP — Contact your state agency

Official directory for state Medicaid agencies.

Official info

National resource
CMS (Centers for Medicare & Medicaid Services)

Federal agency overseeing Medicare, Medicaid, and related programs.

Official info

National resource
USDA National Hunger Hotline

Help finding food resources; also offers Spanish line 877-842-6273.

Phone: 866-348-6479

Official info

See the full national page: National resources

Medicare Advantage plan contacts (benefits & claims)

For plan-specific questions, the number on the member ID card is usually best. These are general member-services lines and contact pages.

Official tool
Compare plans by ZIP code

If you’re not sure which Medicare Advantage or Part D plans are available locally, Medicare’s official Plan Finder is the most reliable starting point: Medicare Plan Finder.

FL plans

  • Humana — Medicare member support(800) 457-4708contact
    If you have a member ID card, use the phone number printed on it when possible.
  • Florida Blue — Member services(800) 926-6565contact
    If you have a member ID card, use the phone number printed on it when possible.

National starting points

  • Medicare (official program)800-633-4227contact
    Use the Plan Finder and your Medicare account for plan-level details.
  • UnitedHealthcare Medicare plans877-596-3258contact
    General Medicare member line; members can also use the number on the ID card.
  • Humana Medicare Advantage800-457-4708contact
    Customer Care; hours vary.
  • Aetna Medicare844-979-3435contact
    Member Services number published by Aetna; use the ID card number when possible.
  • Cigna Medicare800-997-1654contact
    Coverage/claims/Medicare information line; members can also use the number on their ID card.
  • Blue Cross Blue Shield (state-specific plans)contact
    BCBS customer service is state-based. For benefits/claims, call the number on the back of the member ID card or use the directory to find your local BCBS website.
  • Anthem Blue Cross Blue Shield (select states)contact
    Anthem contact info is state-specific. Members should use the number on the member ID card whenever possible.
  • SHIP (State Health Insurance Assistance Program)contact
    Free, unbiased Medicare counseling. Use the directory to find your state’s SHIP phone number.

How Averyn fits in

What we do

  • Scheduling, rescheduling, and logistics confirmation
  • Referral follow-up and “what’s the status?” persistence
  • Portal monitoring for administrative threads and document retrieval
  • Benefits questions support (where to look, what to ask, what to document)
  • Written updates that keep siblings aligned

What we don’t do

  • Medical advice, diagnosis, or triage
  • Emergency response or 24/7 monitoring
  • Clinical interpretation of labs or symptoms

This page is a non-exhaustive starting point for families coordinating care. Listings are informational and not endorsements. Contact details and availability can change—verify directly with each organization. Averyn Care provides non-clinical administrative coordination and is not an emergency service.

Last reviewed: 2026-01-11

Talk to an Averyn Care Navigator

If you’re coordinating care from across town or across the country, we can help you move the admin work forward—scheduling, referrals, portal threads, paperwork, and family updates.