Care Coordination
Targeted Case Management in Miami
For patients navigating complex needs, TCM provides a named point of contact who helps coordinate medical, behavioural health, housing and community resources so care actually happens.
Why patients come to us for targeted case management
One point of contact
A case manager who knows your situation, not a different person each call.
Practical problem-solving
Transport, paperwork, appointments and benefits handled with you, not left to you.
Built on your goals
The plan is shaped around what stability looks like for you.
What we offer
Targeted Case Management services
Every plan is individualised. These are the components that most commonly form part of it.
- Individualised care plan development
- Coordination across medical and behavioural health providers
- Community resource navigation (housing, food, transport)
- Benefits and eligibility assistance
- Appointment scheduling and follow-through support
- Communication with schools, employers or agencies where authorised
- Crisis-planning and safety-net coordination
- Family and caregiver liaison
- Progress monitoring and plan review
- Transition support between levels of care
Not sure if this is right for you?
You do not need to diagnose yourself first. Tell us what is going on and we will route you.
Call (786) 332-4330Language
This service is delivered in English and Spanish.
Clinical focus
Conditions we commonly help manage
Linked conditions have their own page. The rest we also see.
- Complex Care Needs
- Serious Mental Illness Support
- Post-Hospital Transition
- Chronic Illness Coordination
- Housing & Social Needs
- Benefits Navigation
Areas of clinical focus, not a claim about outcomes. Suitability is decided by assessment.
Referral and eligibility
TCM usually begins with a referral and a review of eligibility criteria, which differ by programme and payer. Our team will walk you through it.
Care plan
You and your case manager build a written plan with specific goals, responsible parties and review dates.
Ongoing coordination
Your case manager maintains contact, tracks whether referrals and services actually occurred, and escalates when something stalls.
Insurance
Coverage for targeted case management
Commercial, Medicare and Medicaid. Coverage depends on your plan, eligibility and medical necessity.
Plans may vary by service and eligibility. Contact us to verify coverage.
How coverage is decided
- Whether the service is covered under your plan
- Whether prior authorisation is required
- Your eligibility and network restrictions
- Medical necessity criteria
- Your deductible, copay or coinsurance
Final determinations are always made by your insurer.
Questions
Targeted Case Management — frequently asked questions
Keep exploring
Services that often work alongside this one
Request a Targeted Case Management appointment
Call us and speak to a person. We confirm your appointment, your location and what to bring.