Chronic Care Management
Chronic care management software for coordinating monthly follow-up, care plans, and documentation for patients living with multiple chronic conditions.
CareOS helps practices organize CCM, RPM, PCM, APCM, RTM, BHI, TCM, and future care programs from one intelligent care management workspace.
Each program has its own structure, but CareOS keeps patients, documentation, time, tasks, care plans, and progress connected across all of them.
CareOS is structured as a multi-program care management platform, helping practices organize core care workflows while staying ready for expanding care models such as APCM, RTM, BHI, TCM, and future programs.
Chronic care management software for coordinating monthly follow-up, care plans, and documentation for patients living with multiple chronic conditions.
A remote patient monitoring platform for tracking device readings, adherence gaps, patient engagement, and care-team review queues between visits.
Principal care management software for focused, single-condition care planning, progress tracking, and condition-specific documentation.
Advanced primary care management software for continuity, patient access, and population-level care coordination across a primary care panel.
Remote therapeutic monitoring software for non-physiologic data, patient-reported progress, therapy adherence, and documentation readiness.
Behavioral health integration software for collaborative care follow-up, screening status, barriers, and documentation support.
Transitional care management software for post-discharge follow-up, care gaps, task completion, and documentation around care transitions.
CareOS is structured as a multi-program care management platform that can grow with new reimbursement models, care programs, and workflows over time.
CCM, RPM, PCM, APCM, RTM, BHI, and TCM each carry different requirements, timeframes, and documentation expectations. But care teams should not have to switch tools or rebuild their process for every program. CareOS provides one consistent workflow for patients, documentation, time, tasks, care plans, and progress — so the operating model stays the same even as the programs change.
One operating layer for the work that looks the same no matter which care management program a patient is enrolled in.
Bring patients into programs with consistent intake, setup, and enrollment steps.
Track consent, care-plan status, and program readiness so teams know what is still needed.
Keep goals, interventions, barriers, and follow-up actions connected in one place.
Learn more →Organize time, care activity, and notes so work is review-ready before monthly billing.
Learn more →Turn readings, symptoms, adherence, and barriers into longitudinal patient progress.
Coordinate outreach, follow-up, and care-team actions across every program.
Start with manual and file-based workflows while designing for API-aware pathways.
Learn more →AI assists with summaries and signals while coordinators and providers review and decide.
CareOS supports the care management programs practices run today, and is structured to adapt as care delivery shifts toward more outcomes-driven and value-based models.
Care management software for primary care →Organize CCM, RPM, PCM, APCM, RTM, BHI, and TCM workflows in one consistent workspace.
Track patient progress over time to support stronger, more informed care decisions.
Develop the progress-tracking foundation that emerging value-based models tend to rely on.
Note: CareOS is designed to support care coordination, documentation readiness, and patient progress visibility. It does not guarantee reimbursement, billing results, or specific clinical outcomes, and it is not a substitute for clinical judgment.
See how CareOS brings CCM, RPM, PCM, APCM, RTM, BHI, and TCM workflows into one intelligent care management platform.