Care Coordination

You provide the coordinator (typically an LPN) and we do the rest. Identify, enroll, and start case management with patients in as few as three clicks. From onboarding and training, to care protocols, agendas, workflows, and billing, our Care Coordination platform increases efficiency and lightens the load for overburdened internal staff.

Care Coordination delivers financial benefits while also engaging your highest-risk patients. Care Coordination is a streamlined path to successfully executing case management programs, including Chronic Care Management (CCM), by facilitating easy patient identification and enrollment, full documentation (including agendas and care plans), time tracking, caseload management, and billing activities.

Key Features

  • Simplifies patient identification and enrollment for efficient care plan management and tracking.
  • Provides full documentation and caseload management features for easier execution and monitoring of care coordination programs.
  • Streamlines care management activities for more focus on high-quality care delivery.
  • Improves patient outcomes by identifying and addressing gaps in care, leading to better health outcomes and increased reimbursements.
  • Facilitates communication and collaboration among care team members, including physicians, nurses, specialists, and care managers.
  • Offers templates and standardized protocols for common conditions to guide care delivery.
  • Easily customize your own templates for personalized patient interactions.
  • Tracks and analyzes patient outcomes, utilization patterns, and care team performance.

Used by Care Coordinators and Case Managers within Physician Groups, MSOs/ACOs, and Health System Professional Services to benefit patients, providers, and payors.


  • Enhanced care coordination, education, and support.

  • Improved access: same-day or next-day appointments.

  • More personalized care: monthly 1:1 calls with a dedicated clinician (monitoring health, scheduling appointments, medication adherence, etc.).

  • Improved outcomes and fewer ER visits and inpatient stays.


  • Achieve scalable success within the CCM program without significant “projects” or capital outlay.

  • Better control of chronic disease in high-risk patient populations.

  • Improved quality scores and incentive-based reimbursement.


  • Removes provider barriers to providing lower-cost care for the highest-risk patients, leading to greater adoption by providers.
  • Better control of chronic disease in high-risk patient populations.
  • Improved economics: savings within inpatient and emergency services.




in surplus for a 

300-provider system



of new reimbursement 

via automated data feed



in ARR 

first 90 days