Last updated: 2026-08-21
Honest Taskers, Carenet Healthcare, and Signallamp Health lead this year's shortlist of virtual nurse assistant companies, seven firms ranked on how they take load off a practice's nursing team, from triage calls and patient education to medication reconciliation, care plan follow-up, and the administrative work that currently eats a nurse's afternoon. The important distinction on this list is who holds the license. Some firms employ registered nurses licensed in your patient's state. Others supply administrative staff who support your nurses. Both are useful and they are not interchangeable. This shortlist works through whether you need a licensed nurse or an assistant, the risks of a remote arrangement, how support is priced, what to look for in a partner, and how to start.
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
- 2Carenet Healthcare
- 3Signallamp Health
- 4RelateCare
- 5Vivo Care Solutions
- 6Wellbox
- 7ChartSpan
How we chose the best virtual nurse 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 staff and what license they hold, what the staff are permitted to do, published pricing, the fee model, and named compliance. Licensure comes first and it decides the whole comparison. Telephone triage that determines whether a patient needs to be seen, and patient education about a treatment plan, are nursing practice, and a nurse generally has to be licensed in the patient's state or hold a multistate license under the Nurse Licensure Compact. Administrative support for a nursing team is a different purchase with a different price. We say plainly which each firm is selling. Blank facts read "not publicly listed" instead of a guess.
Best virtual nurse assistant companies compared
The table ranks all 7 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.
| Company | What the staff do | License held | Published pricing | Fee model | Compliance named |
|---|---|---|---|---|---|
| Honest Taskers | Administrative and clinically adjacent support for your nursing team: intake, scheduling, refill prep, records, documentation | Pool includes licensed nurses and physicians; work is administrative, not clinical practice | $10.00–$12.65/hr | Staffing by the hour | Compliance officer; HIPAA compliance verified by Accountable; BAA when PHI is accessed |
| Carenet Healthcare | Nurse triage, after-hours clinical support, physician e-consults, patient engagement | Registered nurses | Not publicly listed | Managed service at scale | Not publicly listed |
| Signallamp Health | Care management, remote monitoring, medication reconciliation, care planning in your EHR | Its own 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 |
| RelateCare | Telephonic nurse triage, post-discharge follow-up, wellness programs | Nurses on a 24/7 triage line | Not publicly listed | Managed service, enterprise | Not publicly listed |
| Vivo Care Solutions | RPM monitoring and CCM care management | US-based nurses | 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 coordination | Nurse-delivered; credentials not published | Not publicly listed | Managed program | Not publicly listed |
| ChartSpan | Chronic care outreach, enrollment, documentation, 24/7 nurse care line | Its own clinical staff; credentials not published | Not publicly listed | Managed program, whole function | Not publicly listed |
Read the license column carefully, because it is the only column that changes what the arrangement is allowed to do. One firm states that its nurses are licensed in the same state as your patients, which is the answer this category requires. Two describe nurses without publishing credentials. One, at position 1, is explicitly administrative support rather than nursing practice, which is why it is the cheapest and the most flexible. Only one names an audited security certification.
1. Honest Taskers
Best for: practices whose nurses are drowning in administrative work and need that taken away rather than needing a second nurse.
Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Staffing by the hourFirst hire: Two-week working trial
Most practices asking for a virtual nurse do not need more nursing capacity, they need their existing nurses to stop doing clerical work. Honest Taskers is built for that: placed staff working inside your electronic health record on intake and pre-visit preparation, appointment and referral scheduling, refill queue preparation, records requests and outside record chasing, prior authorization paperwork, and documentation, so the licensed people in your building spend their time on the work only they can do. The talent pool includes licensed nurses and physicians, which raises the quality of judgement in that support work considerably, and staff are trained on HIPAA and data privacy under a dedicated compliance officer, work in your time zone, and sign a Business Associate Agreement before touching protected health information, with HIPAA compliance verified by Accountable. Rates run about $10 to $12.65 an hour by role, background, schedule, and location, with a two-week working trial on the first hire and 99.6% average monthly retention reported. See the multi-purpose virtual medical assistant service for role detail.
Limitation: this is administrative and clinically adjacent support delivered remotely, not licensed nursing practice, so triage decisions, patient education, and clinical advice stay with your own clinicians, and any state licensure question should be settled in the interview.
2. Carenet Healthcare
Best for: practices and groups that need registered nurses answering triage calls, and outside office hours most of all.
Pricing: Not publicly listedLocation: Not publicly listedModel: Managed service at scaleFocus: Nurse triage
Carenet Healthcare is the strongest answer here for genuine nurse triage capacity. It combines patient-engagement staff with registered nurses and physician e-consults into one triaged virtual care experience, so a call that starts as a scheduling question and turns into chest pain does not have to be transferred out of the building. After-hours clinical support is a named service, which is where nursing coverage is hardest and most expensive to staff yourself. It reports a 67% cost reduction, a company-reported figure. The model is built for volume, so it suits groups, systems, and health plans more comfortably than a small practice.
Limitation: it publishes no pricing, no delivery location, and no named certification, and it will not take on the administrative load sitting on your in-house nurses.
3. Signallamp Health
Best for: practices that want an embedded nurse working in their own chart, licensed where their patients live.
Pricing: $0 out of pocketLocation: 100% US-basedModel: Revenue share on CMS codesLaunch: 4 to 6 weeks
Signallamp Health is the licensure bar for this entire 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 has them work directly in your electronic health record rather than a separate portal, which makes them function like an extension of your nursing team rather than an outside vendor. Scope covers chronic care management, remote monitoring, medication reconciliation, and care planning. Commercially it is a revenue share against CMS codes you can already bill, described as $0 out of pocket with profitability guaranteed, and launch takes four to six weeks. Company-reported results include better than 90% patient retention, 86% improvement in medication adherence, and 63% lower emergency department use.
Limitation: the nurses work care management programs rather than your general nursing queue, its site states no HIPAA or BAA position, and the revenue share depends on billable volume.
4. RelateCare
Best for: organizations needing round-the-clock nurse advice plus structured post-discharge calling.
Pricing: Not publicly listedLocation: Not publicly listedModel: Managed service, enterpriseFocus: Triage and post-discharge
RelateCare runs telephonic nurse triage giving patients 24/7 access to healthcare advice, alongside post-discharge follow-up and wellness programs. The pairing is the point: the same nursing team that answers a worried patient at midnight is the one calling them three days after a hospital stay, which produces better judgement than splitting those jobs between vendors. For an organization carrying readmission risk, that combination is directly relevant.
Limitation: it is enterprise-oriented, publishes no pricing and no named compliance, and does not sell nursing support for a small practice's day-to-day queue.
5. Vivo Care Solutions
Best for: practices that want US-based nurses monitoring device data and running chronic care in one arrangement.
Pricing: Not publicly listedLocation: US-based nursesModel: Platform plus clinical servicesCompliance: SOC 2 examination
Vivo Care Solutions, formerly Optimize Health, supplies US-based nurses for remote monitoring and chronic care management on a single platform, and it is the only firm on this list backed by an independent SOC 2 examination, with HIPAA-compliant practices stated across the platform, the connected devices, and the clinical services. For a practice whose nursing gap is specifically watching readings and acting on them, this is a focused answer rather than a general nursing service. Named buyers include physician practices, value-based care organizations, federally qualified health centers, hospitals, and accountable care organizations, across cardiology, nephrology, endocrinology, pulmonology, and primary care.
Limitation: the nursing scope is monitoring and care management rather than triage, no pricing is published, and its own outcome counters render as placeholders.
6. Wellbox
Best for: practices that want a nurse speaking with each patient monthly to catch risk early.
Pricing: Not publicly listedLocation: Not publicly listedModel: Managed programFocus: Monthly nurse interactions
Wellbox delivers nursing contact on a monthly rhythm, using each interaction for risk identification, chronic care management, patient engagement, and preventative care coordination at once. For a stable panel that cadence produces real continuity, because the nurse remembers the previous conversation. Company-reported outcomes include per-beneficiary-per-month Medicare costs down 10% to 15%, preventative measures up 50%, emergency room visits and hospitalisations down 60%, and patient satisfaction of 90% to 96%.
Limitation: it publishes no staff credentials at all, which is a significant gap in a nursing category, plus no pricing and no HIPAA or BAA position.
7. ChartSpan
Best for: practices that want a nurse line for patients between visits without hiring one.
Pricing: Not publicly listedLocation: Not publicly listedModel: Managed program, whole functionExtras: 24/7 nurse care line
ChartSpan's nursing contribution is its 24/7 nurse care line, bundled into a fully managed chronic care management program. Its own clinical staff handle the monthly outreach, the time tracking, and the documentation, and the company takes on patient enrollment. For a practice whose nursing problem is an access problem, patients with nowhere to call in the evening, that line does useful work. Company-reported outcomes are $2,457 in annual patient savings and 20% fewer hospitalisations.
Limitation: nursing access is limited to enrolled chronic care patients, and the company publishes neither staff credentials nor pricing.
Do you need a licensed nurse or a nurse assistant?
Answer this before you shortlist, because it splits the list in half. You need a licensed nurse when the task is nursing practice: deciding whether a patient needs to be seen, teaching a patient about their treatment plan, reconciling a medication list, or acting on a clinical reading. That work requires a license valid where the patient is, under the Nurse Licensure Compact or an individual state license, and it is priced to match. You need nursing support when your licensed staff are spending their day on intake forms, scheduling, records requests, and prior authorizations, which is the more common situation and much cheaper to fix. 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 administrative staff. Buying a clinical program to solve an administrative problem is the expensive mistake in this category; hiring administrative help and expecting triage is the dangerous one. For the scope of the support role, see the virtual medical assistant duties breakdown.
What are the risks of a remote nursing assistant arrangement?
The risks are licensure risks and scope risks, and both land on the practice rather than the vendor.
- License jurisdiction. Ask which state each assigned nurse is licensed in and whether it is a multistate license. Signallamp Health is the only firm here answering that on its own site.
- Scope creep in the other direction. If you hire administrative support, write down that triage and clinical advice are excluded, and make sure patients are not routed to them.
- Triage protocol ownership. For a nurse line, ask whose protocols are used and who signs them off clinically.
- Documentation in your chart. Confirm that triage and education conversations land in your record, not only in the vendor's system.
- Compliance gaps. Six of these seven name no certification, and several no HIPAA or BAA position. Get it in writing first.
How is virtual nursing assistant support priced?
Three shapes, one published rate. Hourly staffing is transparent, with Honest Taskers at $10.00 to $12.65 an hour depending on role, background, schedule, and location, and that is administrative support rather than nursing practice. Revenue share against CMS codes is the clinical model, described by Signallamp Health as $0 out of pocket. Everything else, Carenet Healthcare, RelateCare, Vivo Care Solutions, Wellbox, and ChartSpan, is quote-only, and triage services are commonly priced per call or per member per month in this market, though none of these firms publishes a figure. The honest comparison is not price but scope: an hourly administrative rate and a per-call nurse triage rate are answers to different questions, so decide which question you have first. 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 virtual nursing assistant partner?
License, scope, protocols, and where the documentation lands.
- Named license and state. For any clinical work, get the license and jurisdiction in writing before the engagement starts.
- A written scope of practice. State what the staff will and will not do, in both directions.
- Clinical protocol governance. For triage, establish whose protocols apply and which clinician owns them.
- Documentation in your EHR. Prefer staff who work in your record rather than a portal your team has to reconcile.
- Coverage hours that match the need. Nursing gaps are usually evenings and weekends, so price the hours you lack.
How do you start with remote nursing assistant support?
Start by watching where your nurses' hours go, because the answer usually decides the model for you.
- Log a week of your nursing team's time by task, splitting clinical work from administrative work.
- If most of it is administrative, hire hourly support and keep the clinical work in-house.
- If the gap is genuinely clinical, shortlist on license jurisdiction first and price second.
- Get the Business Associate Agreement, the scope of practice, and any triage protocols in writing before access is granted.
- Pilot for a month, re-log the same time study, and measure how much clinical time you recovered.
For the hiring 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 staff and what license is stated, what the staff are described as doing, 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 the Nurse Licensure Compact 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"; utilization, adherence and savings figures are labeled company-reported and were not independently audited.
Related nursing support staffing guides
If the time study says your nurses are doing clerical work, the fix is scoping that work precisely before you hire. Our guide to tasks to outsource to a virtual medical assistant lists the administrative load that most often sits on nursing staff, from intake and records requests to refill preparation and prior authorization paperwork.
Speak with Honest Taskers about supporting your nursing team.