Should we keep care management in-house or outsource it?

Keep it in-house when your eligible panel is large enough that the reimbursement is worth defending, since a revenue share is permanent. Outsource when nobody can supervise the program or when enrollment is the blocker, because $0 upfront turns a stalled project into a running one. Hourly administrative staff make the in-house route affordable at roughly $10 to $13 an hour.

Which of these firms employ nurses licensed in the patient's state?

Signallamp Health is the only firm here that states it, saying its home-based RNs and LPNs are 100% US-based and licensed in the same state as your patients. Vivo Care Solutions states US-based nurses without naming licensure jurisdiction. Several others describe nurses or clinical staff without publishing credentials at all, so ask before you sign.

Is HealthSnap a staffing provider or software?

No, HealthSnap is software. It runs an integrated remote patient monitoring and chronic care management platform and is HITRUST-certified and HIPAA-compliant, but your own team still makes every patient call and logs every minute. That distinction is the most common purchasing mistake in this category, so confirm which you are buying.

How much does outsourced care management cost?

Almost nobody publishes a rate. Signallamp Health states $0 out of pocket on a revenue share against existing CMS codes and CareHarmony states $0 upfront investment, both taking the fee from reimbursement. Honest Taskers publishes $10.00 to $12.65 an hour for administrative staffing. Everything else is quote-only, so model net revenue per enrolled patient per month.

What compliance should a care management partner have?

At minimum a signed Business Associate Agreement, and ideally a named certification you can forward. TimeDoc Health holds HITRUST i1 from August 2024, Vivo Care Solutions names an independent SOC 2 examination, and HealthSnap is HITRUST-certified. Six of the nine firms here name no certification at all, and three carry no HIPAA statement on their pages.

Can administrative staff do care management work?

Partly. Enrollment outreach, appointment scheduling, refill and referral chasing, care plan data entry, and time-log upkeep are administrative and can be delegated. Clinical assessment, patient education about a treatment plan, and medication reconciliation are licensed nursing work and must stay with your clinicians or a licensed provider.

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Last updated: 2026-08-21

Honest Taskers, Signallamp Health, and ChartSpan lead this year's shortlist of virtual care management assistant companies, nine firms ranked on how they run the work behind a care management program, from patient enrollment and monthly outreach to time tracking, care plan updates, and the documentation that has to exist before a CMS code can be billed. The list splits into two purchases: hourly staff who work inside your program, and providers who supply their own licensed nurses and take a share of the reimbursement.

Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.

At a glance

1Honest Taskers
2Signallamp Health
3ChartSpan
4CareHarmony
5TimeDoc Health
6Vivo Care Solutions
7Wellbox
8Carenet Healthcare
9HealthSnap

How we chose the best virtual care management assistant companies

We ranked these firms on five facts, each read at the provider's own website on August 21, 2026. Those facts are who employs the clinical staff and what license they hold, whether the firm supplies people or only software, published pricing, the fee model, and named compliance. Licensure sits first because care management billed to Medicare is clinical work, and a nurse generally has to be licensed in the patient's state or hold a multistate license under the Nurse Licensure Compact. Only one firm here states that outright, which makes it the reference point the others get measured against. Blank facts read "not publicly listed" instead of a guess, and we mark plainly which entries are platforms rather than staffing providers.

Best virtual care management assistant companies compared

The table ranks all 9 on the same columns, Honest Taskers first because we publish the list. Facts were read August 21, 2026 and change often, so treat them as a starting point, not a quote.

Virtual care management assistant companies compared on the criteria stated below, read at each provider's own site.
Company	What it covers	Clinical staffing	Published pricing	Fee model	Compliance named
Honest Taskers	Enrollment outreach, appointment and refill coordination, care plan data entry, documentation support	Placed staff doing administrative and clinically adjacent work; pool includes licensed nurses and physicians	$10.00–$12.65/hr	Staffing by the hour	Compliance officer; HIPAA compliance verified by Accountable; BAA when PHI is accessed
Signallamp Health	Chronic care management, remote monitoring, medication reconciliation, care planning	Employs its own home-based RNs and LPNs, 100% US-based, licensed in the same state as your patients	$0 out of pocket	Revenue share against existing CMS codes	Not publicly listed
ChartSpan	Chronic care management only, including enrollment, monthly outreach, time tracking, documentation	Its own clinical staff plus a 24/7 nurse care line	Not publicly listed	Managed program, whole function	Not publicly listed
CareHarmony	Nurse-led care coordination with population health and engagement support	Nurses alongside population-health experts and engagement specialists	$0 upfront investment	Managed program plus CareBlocks platform	Not publicly listed
TimeDoc Health	Chronic care management, remote monitoring, behavioral health monitoring	Care coordinators and nurses alongside an enterprise platform	Not publicly listed	Platform plus care management services	HITRUST i1 certification, achieved August 2024
Vivo Care Solutions	Remote monitoring and chronic care management with clinical monitoring	US-based nurses for RPM monitoring and CCM care management	Not publicly listed	Platform plus clinical services	HIPAA across platform, devices and clinical services; independent SOC 2 examination
Wellbox	Monthly nurse interactions, risk identification, preventative care coordination	Nurse-delivered; credentials not published	Not publicly listed	Managed program	Not publicly listed
Carenet Healthcare	Nurse triage, after-hours clinical support, physician e-consults, patient engagement	Registered nurses plus patient-engagement staff	Not publicly listed	Managed service at scale	Not publicly listed
HealthSnap	Remote monitoring and chronic care management platform	Software only; your team makes the calls	Not publicly listed	Platform license	HITRUST-certified; HIPAA-compliant

Two facts reshape this decision. Only two firms publish anything about cost, and both publish the same thing, which is that you pay nothing upfront because the fee comes out of the reimbursement. And only three name any compliance certification at all, which is striking for a category where every provider handles protected health information daily. The most useful line in the table is the clinical staffing column, because it tells you whether you are buying a nurse, a coordinator, or a screen.

1. Honest Taskers

Best for: practices that want to keep the care management program and the billing in-house, and need affordable hands for enrollment, outreach scheduling, and documentation.

Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Staffing by the hourFirst hire: Two-week working trial

Honest Taskers is the only entry here that leaves the program in your hands. You hire named staff by the hour who work inside your electronic health record on the administrative half of care management: reaching out to eligible patients about enrollment, booking and confirming the monthly touchpoints, chasing refill and referral loose ends, entering care plan updates, and keeping the documentation tidy so the billable time is defensible. That matters because the revenue-share providers on this list take a cut of the same reimbursement you would otherwise keep. Staff are trained on HIPAA and data privacy under a dedicated compliance officer, work in your time zone, and a Business Associate Agreement is signed before anyone touches protected health information, with HIPAA compliance verified by Accountable. The talent pool includes licensed nurses and physicians. Rates begin around $10 an hour and reach about $12.65 by role, background, schedule, and location, and the first hire comes with a two-week working trial. Honest Taskers reports 99.6% average monthly retention. See the multi-purpose virtual medical assistant service for role detail.

Limitation: staff work remotely and administratively, so clinical assessment and every clinical decision stay with your own licensed providers, and you should confirm state licensure for your patients' states during the interview rather than assuming it.

2. Signallamp Health

Best for: practices that want a nurse licensed in the patient's own state, working inside the existing chart, with nothing paid upfront.

Pricing: $0 out of pocketLocation: 100% US-basedModel: Revenue share on CMS codesLaunch: 4 to 6 weeks

Signallamp Health sets the licensure bar for this category. It fully employs its own home-based registered nurses and licensed practical nurses, states they are 100% US-based and licensed in the same state as your patients, and puts them to work directly in your electronic health record rather than in a separate portal your staff would then have to reconcile. Scope covers chronic care management, remote monitoring, medication reconciliation, and care planning. Commercially it is a revenue share against the CMS codes you can already bill, described as $0 out of pocket with profitability guaranteed, and launch runs four to six weeks. Company-reported outcomes include better than 90% patient retention, 86% improvement in medication adherence, and a 63% reduction in emergency department use.

Limitation: its site carries no HIPAA or BAA statement, and because the fee is a share of reimbursement the economics only work if you have enough billable patients to matter.

3. ChartSpan

Best for: practices that want chronic care management run end to end by a firm that does nothing else, including the enrollment conversations.

Pricing: Not publicly listedLocation: Not publicly listedModel: Managed program, whole functionExtras: 24/7 nurse care line

ChartSpan focuses exclusively on chronic care management, and that narrowness is the argument for it. Its clinical staff handle the monthly patient outreach, the time tracking, and the documentation, and it takes on patient enrollment, which is the step most practices underestimate and the reason most in-house programs stall in month two. It also provides a 24/7 nurse care line, so patients have somewhere to call between visits rather than defaulting to an emergency room. Company-reported outcomes include $2,457 in annual savings per patient and 20% fewer hospitalisations.

Limitation: chronic care management is all it does, so remote monitoring and behavioral health integration need a second vendor, and it publishes neither staff credentials nor pricing.

4. CareHarmony

Best for: practices that want nurse-led coordination plus a population-health view of which patients to prioritize.

Pricing: $0 upfront investmentLocation: HQ Brentwood, TennesseeModel: Managed program plus platformScale: 100,000+ people (company-reported)

CareHarmony pairs nurses with population-health specialists, data scientists, and engagement staff, which is a different shape from a pure nursing service and useful if your problem is choosing which patients to enrol rather than calling the ones you have already picked. Its CareBlocks platform sits underneath the service, and the commercial position is $0 upfront investment, so the cost comes out of program revenue rather than your budget. The company reports that more than 100,000 people rely on it, and it operates from Brentwood, Tennessee.

Limitation: it publishes no staff credentials, no pricing detail, and no HIPAA or Business Associate Agreement statement, which is a gap worth resolving in writing before patient data moves.

5. TimeDoc Health

Best for: practices that need chronic care, remote monitoring, and behavioral health monitoring under one contract, with a named certification behind it.

Pricing: Not publicly listedLocation: Not publicly listedModel: Platform plus servicesCertification: HITRUST i1

TimeDoc Health is the broadest scope on this list, running chronic care management, remote patient monitoring, and behavioral health monitoring as three named services rather than one program with add-ons. Its care management work covers medication adherence, appointment scheduling, and help with durable medical equipment, delivered by care coordinators and nurses working on top of an enterprise platform. It achieved HITRUST i1 certification in August 2024, which is the strongest documented security position among the staffing providers here. Its stated buyers are community health centers, medical groups, health systems, and health plans.

Limitation: staff credentials are not named and the outcome statistics on its own site render as placeholders, so ask for real figures and for the license held by the coordinators assigned to you.

6. Vivo Care Solutions

Best for: practices that want US-based nurses doing the monitoring and an independent security examination they can point to.

Pricing: Not publicly listedLocation: US-based nursesModel: Platform plus clinical servicesCompliance: SOC 2 examination

Vivo Care Solutions, previously Optimize Health, is the only firm here that pairs US-based nurses with a named independent SOC 2 examination, and it states HIPAA-compliant practices across its platform, its connected devices, and its clinical services. Remote monitoring and chronic care management run together on one ready-built stack, with clinical monitoring as a named service. Its stated buyers are physician practices, value-based care organizations, federally qualified health centers, hospitals and health systems, and accountable care organizations, and it names cardiology, nephrology, endocrinology, pulmonology, and primary care among the specialties it works in.

Limitation: no pricing is published and its own patient and outcome counters render as placeholders on the site, so the scale claims cannot be checked before a call.

7. Wellbox

Best for: practices whose priority is preventative outreach and risk identification rather than a full monitoring stack.

Pricing: Not publicly listedLocation: Not publicly listedModel: Managed programFocus: Monthly nurse interactions

Wellbox builds its service around a monthly nurse interaction, using it for risk identification, chronic care management, patient engagement, and preventative care coordination. That single-cadence design suits a practice that wants steady contact with a defined panel rather than continuous device monitoring. Company-reported outcomes are among the boldest here: 10% to 15% lower per-beneficiary-per-month Medicare costs, preventative care measures raised by 50%, emergency room visits and hospitalisations cut by 60%, and patient satisfaction between 90% and 96%.

Limitation: every one of those figures is company-reported with no methodology published, and the site names no staff credentials, no pricing, and no HIPAA or BAA position.

8. Carenet Healthcare

Best for: practices and groups whose real gap is after-hours nurse triage and call volume rather than monthly care plans.

Pricing: Not publicly listedLocation: Not publicly listedModel: Managed service at scaleFocus: Nurse triage

Carenet Healthcare approaches this from the contact center side, combining patient-engagement staff with registered nurses and physician e-consults into a triaged virtual care experience. If the thing breaking in your practice is the phone, and after hours most of all, this is the entry built for that rather than for CMS care management codes. It reports a 67% cost reduction, a company-reported figure. Because the model is built for volume, it fits groups and systems more comfortably than a two-physician practice.

Limitation: it is triage and engagement rather than a billable care management program, publishes no pricing, and names no compliance certification.

9. HealthSnap

Best for: practices that already have the staff and want the platform, tracking, and device layer rather than an outsourced team.

Pricing: Not publicly listedLocation: Miami, FloridaModel: Platform licenseCompliance: HITRUST-certified

HealthSnap is a platform, not a staffing provider, and it belongs on this list precisely because that distinction is the one buyers get wrong. It runs integrated remote patient monitoring and chronic care management as a virtual care management platform, and it is HITRUST-certified and HIPAA-compliant, which is a stronger documented position than most of the staffing providers here manage. Its stated buyers are provider groups, health systems, accountable care organizations, federally qualified health centers, and community health centers. Company-reported clinical results include a 23.8 mmHg systolic blood pressure reduction and a 16.5 mg/dL drop in fasting glucose, and it was ranked 17th in healthcare on the 2025 Inc. 5000.

Limitation: your own team still makes every call and logs every minute, so it lowers the administrative friction without removing the labor, which is the opposite of what the other eight sell.

Should you staff care management with your own assistant or hand it to a provider?

Staff it yourself when you have enough eligible patients to make the revenue worth keeping. The reimbursement for chronic care management is yours, and a revenue-share provider takes a slice of it permanently, so at scale the arithmetic favors your own people. Hourly remote staff make that affordable: a medical records specialist earned about $51,140 a year, roughly $24.59 an hour before benefits, according to the U.S. Bureau of Labor Statistics May 2025 wage data for medical records specialists, against roughly $10 to $13 an hour for placed remote staff handling the administrative half. Hand it to a provider when you cannot spare a clinician to supervise, when enrollment is the blocker, or when you have tried and stalled, since $0 upfront removes the risk of a program that never launches. Buy the platform alone only if you already have the people. What none of these options changes is that the clinical judgement, and the license behind it, has to be real: care management minutes billed to Medicare describe clinical work, and a nurse generally needs to be licensed in the patient's state or hold a multistate license under the Nurse Licensure Compact. For the wider role definition, see tasks to outsource to a virtual medical assistant.

What are the risks of outsourcing care management to an assistant?

The risks here are billing risks and licensure risks, not service-quality risks, and they land on you rather than on the vendor.

Licensure in the patient's state. Ask which state each assigned nurse is licensed in, and whether they hold a multistate license. Only Signallamp Health answers this on its own site.
Documentation that survives an audit. Ask to see how time is captured and what the note looks like, because the billable minutes have to be defensible without the vendor in the room.
Compliance statements that do not exist. Six of these nine name no certification at all, and three name no HIPAA or BAA position on the page. Get the agreement in writing before enrollment starts.
Revenue share arithmetic. Model the share against your own eligible patient count over three years, since a percentage that feels small at 80 patients does not at 800.
Patient experience ownership. Ask whose name appears on the caller ID and how escalations reach your clinicians, because the patient will hold you responsible for the call either way.

How do care management assistant providers price their services?

Three models, and almost nobody publishes a number. The revenue share is the category standard: Signallamp Health states $0 out of pocket against existing CMS codes and CareHarmony states $0 upfront investment, both of which mean the fee comes out of the reimbursement rather than your operating budget. Managed programs from ChartSpan, Wellbox, Carenet Healthcare, TimeDoc Health, and Vivo Care Solutions are quote-only, and platform licensing from HealthSnap is quote-only too. Hourly staffing is the only published rate on the list, with Honest Taskers at $10.00 to $12.65 an hour depending on role, background, schedule, and location. Because the shapes are not comparable on their face, the workable approach is to model each option as net revenue per enrolled patient per month after fees, using your own eligible patient count, and make every provider tell you what their arrangement does to that number. Rates were checked August 2026 and change often. For staffing rate context, see how much a virtual medical assistant costs in 2026.

What should you look for in a care management assistant partner?

Licensure, documentation, integration with your chart, and the fee model against your own patient panel.

Named licensure, in the right state. The strongest answer is a nurse licensed where your patient lives, stated in writing rather than implied.
Work inside your EHR. A provider working in your chart avoids the reconciliation problem a separate portal creates. Signallamp Health states this explicitly.
Enrollment included or not. Enrollment is where most programs die, so establish whether the provider makes those calls or hands you a list.
A compliance position in writing. Ask for the BAA and any certification. HITRUST and SOC 2 appear on only three of these nine sites.
Fee modelled on your panel. Compare net revenue per enrolled patient per month, not headline percentages.

For the administrative scope you can staff yourself, the virtual medical assistant duties breakdown lists the work task by task.

How do you start a care management assistant program?

Start by counting eligible patients, because that number decides whether you keep the revenue or trade it for someone else's staff.

Count patients who qualify, then estimate the monthly reimbursement at your own payer mix.
Decide the model. Above a few hundred eligible patients, keeping the program and staffing it hourly usually wins on economics.
Shortlist on licensure and EHR integration first, then on fee model.
Get the Business Associate Agreement and see a sample time-tracking note before any patient is enrolled.
Pilot on one panel or one provider's patients, measure enrollment rate and billed minutes against your projection, then expand.

For the hiring path on the staffing route, read how to hire a virtual medical assistant.

Methodology and sources

We read each company's own website on August 21, 2026, recording who employs the clinical staff and what licensure is stated, whether the offering is staff or software, published pricing, fee model, and named compliance. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics for medical records specialists. Licensure context is from the Nurse Licensure Compact as administered by the National Council of State Boards of Nursing, and care management billing rules are set by the Centers for Medicare and Medicaid Services. Where a company didn't publish a fact, we marked it "not publicly listed"; outcome and savings figures are labeled company-reported and were not independently audited.

If you're leaning toward keeping the program in-house, the practical question is which parts of it a remote hire can own. Our explainer on what a virtual medical assistant is covers where the administrative work ends and clinical work begins, which is the line that decides how much of a care management program you can staff this way.

Speak with Honest Taskers about staffing your care management program.

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