Care Management Assistant
Coordinate chronic care across patients, clinicians, and health plans.
CareThread
CareThread creates a continuous care layer between appointments, helping patients follow care plans while giving care managers a prioritized view of symptoms, adherence, missed tasks, and people who may need outreach.
Intended user or buyer
For teams responsible for chronic care coordination.
CareThread creates a continuous care layer between appointments, helping patients follow care plans while giving care managers a prioritized view of symptoms, adherence, missed tasks, and people who may need outreach.
Care-management teamsPrimary-care groupsSpecialty clinicsHealth plans
Workflow problem
The work becomes harder when evidence and action live apart.
Chronic care is often fragmented between visits. Patients may struggle with medications, follow-up, symptoms, transportation, or care instructions, while care managers must decide where limited outreach time can make the greatest difference.
Product focusCoordinate chronic care across patients, clinicians, and health plans.
The experience organizes the next review around the information people need to understand and verify.
Product interface preview
A focused workspace for the decision at hand.
Representative content shows how the product brings evidence, status, and the next review step into one interface.
Care-manager worklistCareThread
Outreach prioritizedActive workspace
Turn the space between visits into a coordinated care experience.
CareThread connects patient check-ins, missed tasks, adherence, and care-team follow-up without replacing the relationship behind the plan.Care planActive
Check-insOngoing
EscalationHuman
Customer outcomes
What changes for the people doing the work.
Coordinate chronic care across patients, clinicians, and health plans.
Keep the care plan visible
Give patients a simple view of goals, reminders, appointments, education, and recent check-ins.
Prioritize human outreach
Help care managers focus on patients with worsening symptoms, missed tasks, or rising risk.
Close the loop
Record outreach, interventions, outcomes, and care-plan progress instead of letting alerts disappear into separate systems.
Core workflow
A guided path from information to reviewed action.
Each stage keeps the current work state understandable and carries the supporting context forward.
Enroll
Create the patient’s care plan and goals.
Engage
Deliver reminders, education, and check-ins.
Monitor
Track symptoms, tasks, and adherence.
Prioritize
Surface people who may need support.
Intervene
Care team acts and records the outcome.
Capabilities
Useful at every step, clear at every handoff.
Capabilities are described through the workflow people can use and review—not through the technology operating behind the screen.
Patient check-ins
Support symptom questions, appointment reminders, medication reminders, care-plan education, and escalation to staff.
Medication adherence
Track schedules and patient-reported adherence while making missed doses or uncertainty visible.
Risk-guided worklists
Prioritize people who may face hospitalization, readmission, missed follow-up, or worsening chronic disease.
Care-manager dashboard
Review risk trends, recent symptoms, missed tasks, escalation history, and care-plan progress.
Event-based outreach
Start a review workflow after discharge, a missed visit, an abnormal result, repeated symptoms, or a medication lapse.
Example product output
Keep technology in the background and the care relationship in front.
CareThread handles reminders and routine check-ins while making it easy to escalate the moments that need a human response.
Care-manager worklistKeep technology in the background and the care relationship in front.
Example outputClinical concerns route to the care team.
Patients can see goals and next steps in plain language.
Care managers decide priorities and interventions.
Prepared for qualified review
Care Management Assistant · NeoTechSource