Keeping Patients Connected Beyond the Office Visit
AddiNurse partners with providers, community health centers, behavioral health organizations, and senior care teams to deliver nurse-led care coordination programs.
Our team supports Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), Transitional Care, and ongoing patient engagement, helping providers improve follow-up, close care gaps, and support patients between visits.
The Missing Clinical Layer
Between Visits
Healthcare doesn’t stop when the appointment ends. Many patients need ongoing support, monitoring, education, and follow-up, but providers often lack the time and staff to manage it all.
AddiNurse bridges that gap.
Through nurse-led care coordination, we help providers stay connected with patients through chronic care management, remote monitoring, behavioral health support, and proactive outreach.
Our goal is simple:
More support for patients. More capacity for providers. Better continuity of care.
AddiNurse extends your care team by adding the nurse-led support patients need between visits, helping healthcare organizations deliver more connected, proactive care.
Why Chronic Care
Management Matters
STAT 1
Approximately two-thirds of Medicare beneficiaries have multiple chronic conditions requiring ongoing care coordination and monitoring.
STAT 2
90% of the nation’s annual healthcare expenditures are associated with chronic and mental health conditions.
STAT 3
More than half of all Medicare beneficiaries are now enrolled in Medicare Advantage plans, increasing the demand for preventive and value-based care strategies.
STAT 4
CMS continues expanding chronic care and technology-enabled healthcare initiatives focused on diabetes, hypertension, behavioral health, and other chronic illnesses.
How AddiNurse Extends
Healthcare Ecosystem
“We work alongside your existing care team, adding nurse-LED support where it's needed most”
Care Coordination & Patient Connection
Nurse-led outreach, education, and follow-up that keeps patients engaged between visits.
Chronic Care Management (CCM)
Ongoing support for patients with chronic conditions through monthly touchpoints, care planning, and coordination.
Remote Patient Monitoring (RPM)
Connecting patients, devices, and care teams through monitoring support and proactive follow-up.
Behavioral Health Integration (BHI)
Supporting whole-person care through ongoing behavioral health engagement and coordination.
Transitional Care Support (TCM)
Helping patients transition safely after hospitalization with follow-up and care coordination.
Senior Living Partnerships
Bridging communication between residents, families, caregivers, and healthcare providers.
Custom-Built Clinical Support for Your Organization
Powered by Clinical Coordination.
90%+ of adults 65+ have at least one chronic condition
RPM supports vitals like weight, BP, pulse ox, and respiratory flow
CCM supports patients with 2+ chronic conditions
Care coordination improves communication across care teams
Who Does Addinurse Partner With?
Collaborating With Healthcare Teams Across the Care Continuum
✓ Primary Care & Specialty Practices
Supporting providers with CCM, RPM, BHI, TCM, and ongoing patient engagement.
✓ Community Health Centers & Value-Based Care Organizations
Helping care teams extend outreach, improve follow-up, and support population health goals.
✓ Behavioral Health Organizations
Supporting whole-person care through ongoing patient engagement and coordination.
✓ Senior Living & Residential Care Communities
Connecting residents, families, caregivers, and providers through coordinated clinical support.
✓ Mobile & Home-Based Providers
Helping providers stay connected with patients receiving care outside traditional settings.
Partner Perspectives
Working alongside healthcare teams to support connected patient care
Concierge / Mobile Physician
“AddiNurse gives our practice an added layer of nurse-led support between visits. Their care coordination helps us stay connected with patients while allowing our providers to focus on delivering care.”
— Concierge Medicine Provider
Community Health / Primary Care Practice
“Having nurse-led outreach and care coordination support allows our team to better engage patients, improve follow-up, and support our chronic care initiatives.”
— Practice Administrator