CCM Service Provider
With our full-service or software + management approach, you can rest easy knowing your patients are getting the care they need.
We do the work to integrate into your existing workflow, find and enroll eligible patients, manage sensor logistics, create care plans, deliver audit-grade billing reports, and provide Medicare chronic care service logs.
Outsource Chronic Care Management
for Hospitals & Private Practice
All The Ways You Benefit
 | 100% Registered NursesAll of our telehealth nurses are 100% Registered Nurses and average over a decade of nursing experience. |
 | Custom Care Plans from EHR DataInstantly import existing patient data, or build a care plan from our templates in a snap. |
 | Close the GapsIdentify, track and close Gaps in Care 25% more than the Medicare/MIPS average using Gap CloserTM. Improve quality, HEDIS Star ratings and revenue. |
 | Patient Progress ReportsVisualize patient progress for care team and patient feedback, including population-level and detailed Gaps-in-Care progress data. |
 | Consulting from our ExpertsBenefit from our experience working with hundreds of physicians covering tens of thousands of patients. |
 | Zero Staff BurdenWe do all the work to integrate into your existing workflow, find and enroll patients, create care plans, deliver audit-grade reports, and more. |
Outsource Chronic Care Management
for Hospitals & Private Practice
All The Ways You Benefit
100% Registered Nurses
All of our telehealth nurses are 100% Registered Nurses and average over a decade of nursing experience.
Custom Care Plans from EHR Data
Instantly import existing patient data, or build a care plan from our templates in a snap.
Close the Gaps
Identify, track and close Gaps in Care 25% more than the Medicare/MIPS average using Gap CloserTM. Improve quality, HEDIS Star ratings and revenue.
Patient Progress Reports
Visualize patient progress for care team and patient feedback, including population-level and detailed Gaps-in-Care progress data.
Consulting from our Experts
Benefit from our experience working with hundreds of physicians covering tens of thousands of patients.
Zero Staff Burden
We do all the work to integrate into your existing workflow, find and enroll patients, create care plans, deliver audit-grade reports, and more.
Close Gaps In Care With Our Industry-Leading Proven Outcomes
Our award-winning chronic condition management platform has achieved proven clinical outcomes in multiple independent studies while helping tens of thousands of patients with chronic disease care management, remote patient monitoring, and more. All while driving millions of new revenue dollars to provider organizations.
81%+
Reduction
in ER visits, inpatient admissions and 30-day unplanned readmissions for high utilizers
31%
Reduction
in overall healthcare costs vs. risk-matched control cohort (p = 0.030)
* High utilizers defined as 3+ hospital admissions or 6+ ER visits during the independent study’s 12-month baseline period.
25%
Increase
in Gaps in Care closure vs. national MIPS average
99%
Patients satisfied
with quality of tele-RN care, per November 2022 patient survey. (5% margin of error)
Hear From Our Customers
See how practices have benefited from CircleLink’s leading CCM services.
Our Net Promoter Score Outperforms Today’s Top Brands
Source: Customer Guru, Forbes, Trust Mary, Kaiser Permanente, CircleLink Health 2022 Patient Satisfaction Survey
Discover how you can leverage our solutions and maximize your reimbursements:
100% Registered Nurses
With your patients’ health and your reputation on the line, you need maximum reliability. All of our telehealth nurses are 100% Registered Nurses and average over a decade of nursing experience. Rest easy knowing that CircleLink’s best-in-class care coaches are handling between-visit care and reducing staff workload.
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Lisa B., RN
Prior to becoming a Care Coach, I worked as a public health nurse/Medicare case manager in rural Iowa… Not only do we provide a valuable service… but the information we glean through our telephonic assessments enable our physicians to better care for their patients. I love working with clients as their care coach; it may not be hands-on care, but my heart is all-in!
Sue L., RN
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Leanna R., RN
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Lisa B., RN
Prior to becoming a Care Coach, I worked as a public health nurse/Medicare case manager in rural Iowa… Not only do we provide a valuable service… but the information we glean through our telephonic assessments enable our physicians to better care for their patients. I love working with clients as their care coach; it may not be hands-on care, but my heart is all-in!
Sue L., RN
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Leanna R., RN
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Lisa B., RN
Prior to becoming a Care Coach, I worked as a public health nurse/Medicare case manager in rural Iowa… Not only do we provide a valuable service… but the information we glean through our telephonic assessments enable our physicians to better care for their patients. I love working with clients as their care coach; it may not be hands-on care, but my heart is all-in!
Sue L., RN
I believe care coaching will have the greatest impact on healthy lifestyles and successful disease management… [I] bring my 20+ years of nursing experience and knowledge in Med/Surg, Ortho, Pediatrics and Telehealth nursing to assist our patients… At CircleLink I love that I can work from home, make my own schedule and have the support of the team to help me help our patients.
Leanna R., RN
Seamless Integration
Our setup process is simple. We seamlessly integrate our HIPAA-compliant chronic care management platform and services into your existing workflow with only 2-3 brief kickoff calls. Then we find and enroll eligible patients, provide care management with 100% RNs (or your staff for software-only solutions), create care plans, deliver audit-grade billing reports, and provide Medicare chronic care service logs.
Discover how you can leverage our solutions and maximize your reimbursements:
How We Compare
Other Vendors
Do-it-yourself
Proven Clinical Outcomes
| Statistically significant results, including 31% reduction in total care costs and 81% reduction in ER visits for high utilizers |
| Lacking statistically significant data |
| Difficult to execute and measure with busy in-practice staff |
Care Coach Quality
| 100% Registred Nurses |
| Lower-level medical assistants / CNAs |
| You pay for additional nursing staff |
Compliance
| Bills only for clinical calls with patients and real care coordination Software tracks all interactions |
| Bill even if patient is not reached |
| No auto-time tracking, audit trail, or care plan approval tracking/alerts |
Scalability
| RNs work remotely Access to all U.S. nurses |
| Call centers Geography constrained |
| Need resources to hire, train, maintain and coordinate coaches |
Outsource Chronic Care Management
More Benefits, No Additional Costs
Identification of eligible patients/stratification
Patient enrollment and call assignment
Automatic care plan creation
Licensed tele-nurses for chronic care management, remote patient monitoring and more
Detailed reports for billing and compliance
Automated time tracking
Training and education
Scheduling support from medically trained staff