Last updated: 2026-08-21
Honest Taskers, Signallamp Health, and Carenet Healthcare lead this year's shortlist of US-licensed registered nurse telehealth companies, seven firms ranked on whose nurses hold a license valid in your patients' states, what clinical work those nurses may perform, how they work inside your EHR, and how the whole arrangement gets billed. Licensure is the first question in this category, not a detail, so we've put it at the front of every entry.
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
- 3Carenet Healthcare
- 4RelateCare
- 5ChartSpan
- 6Wellbox
- 7CareHarmony
On this page
- How we chose the best US-licensed RN telehealth companies
- Best US-licensed RN telehealth companies compared
- The 7 companies
- Should you choose licensed nurse, administrative assistant, or answering service?
- What are the risks of remote licensed nursing?
- How much does remote licensed nursing cost?
- What should you look for when a telehealth nurse's licensure matters?
- How do you get started with a US-licensed registered nurse telehealth company?
- Methodology and sources
How we chose the best US-licensed RN telehealth companies
This category has one question that comes before all the others, which is where the nurse is licensed. A registered nurse practising telehealth generally has to hold a license in the state where the patient is located, or a multistate license under the Nurse Licensure Compact. A nurse licensed in one state advising a patient in another, without compact coverage, is a compliance problem for you rather than for the vendor. So we compared five things across every firm, which are licensure and where staff are based, what clinical work the nurses perform, how they work with your records, the billing or fee model, and stated compliance posture. Licensure carried the most weight.
The second thing to establish is scope, because "nurse" is used loosely in this market. Some firms place licensed nurses who assess, educate, and triage under their license. Others place staff with nursing backgrounds who do administrative work, which is a legitimate and useful service but a different purchase. It's worth noticing that Virtual Nurse Rx, a company whose name suggests otherwise, states plainly on its own site that it provides administrative support only and that clinical decisions remain with your licensed providers. That's an honest disclosure, and it's the distinction to test with every vendor you speak to.
Billing shapes this market too. Several of these firms bill nothing up front and take a share of what you collect through existing Medicare chronic care management codes, which changes the risk profile entirely compared with paying an hourly rate. The National Council of State Boards of Nursing is the reference for the Nurse Licensure Compact and which states participate, and CMS sets the rules for chronic care management billing. For what the same work costs locally, the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics puts registered nurses at a median $46.90 an hour, roughly $97,550 a year.
Best US-licensed RN telehealth companies compared
| Company | Who delivers the care | Licensure and location (as stated) | Fee model | Clinical scope (as stated) | Records and compliance (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Remote staff, pool includes licensed nurses and physicians | Works remotely rather than in-house; recruiting in the Philippines, Latin America, India and Pakistan | $10.00 to $12.65/hr | Administrative and clinical-adjacent support; clinical decisions stay with your clinicians | Compliance verified by Accountable; BAA signed when handling PHI |
| Signallamp Health | Its own employed home-based RNs and LPNs | States 100% US-based and licensed in the same state as your patients | $0 out of pocket, revenue share on existing CMS codes | Care management, medication reconciliation, care planning, remote monitoring | Nurses work directly in your EHR; no BAA statement on the page |
| Carenet Healthcare | Registered nurses plus physician e-consults | Not publicly listed | Not publicly listed | Nurse triage, after-hours clinical support, virtual care | Not publicly listed |
| RelateCare | Nurses delivering telephonic triage | Not publicly listed | Not publicly listed | 24/7 nurse triage, post-discharge follow-up, wellness programs | Not publicly listed |
| ChartSpan | Clinical staff, with a 24/7 nurse care line | Not publicly listed | Not publicly listed | Chronic care management, monthly outreach, documentation, enrollment | Handles time tracking and documentation for the practice |
| Wellbox | Nurses delivering monthly interactions | Not publicly listed | Not publicly listed | Chronic care management, risk identification, preventative coordination | Not publicly listed |
| CareHarmony | Nurses alongside population health and engagement staff | Not publicly listed; HQ Brentwood, Tennessee | $0 upfront investment | Care coordination, medication access, post-discharge follow-up | CareBlocks platform; no HIPAA or BAA statement on the page |
1. Honest Taskers
Best for: practices that want remote staff with clinical backgrounds carrying the work around care, at a published hourly rate.
Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Remote, dedicatedFirst hire: Two-week working trial
Honest Taskers places remote healthcare-trained staff with US practices, and its talent pool includes licensed nurses and physicians, which is unusual among virtual staffing firms and is the reason it fits a clinically-minded brief. The work covers patient outreach and follow-up, intake, scheduling, records, prior authorizations, refill coordination routed to your clinicians, and the documentation that surrounds a care program, all in your hours and inside your systems. Staff train on HIPAA and data privacy under a dedicated compliance officer, a Business Associate Agreement is signed where they'll access PHI, and HIPAA compliance is verified by Accountable. Rates run $10.00 to $12.65 an hour, the first hire includes a two-week working trial, and the company reports 99.6% average monthly retention, which matters for continuity with a chronic-condition patient list. Our guide on how nurses become virtual assistants explains the clinical background its recruits bring.
Limitation: staff work remotely rather than in-house, and licensure jurisdiction isn't published, so confirm state licensure for your patients' states in the interview if the role requires it.
2. Signallamp Health
Best for: practices that need nurses licensed in the same state as their patients, with nothing paid up front.
Pricing: $0 out of pocket, revenue shareLocation: 100% US-basedModel: Employed RNs and LPNsTrial: 4 to 6 week launch
Signallamp Health answers the licensure question more directly than anyone else here, stating that its nurses are 100% US-based and licensed in the same state as your patients. It fully employs its own home-based RNs and LPNs rather than contracting them, which matters for consistency and accountability, and those nurses work directly inside your EHR with no extra software or integration to buy. The service covers chronic care management, remote patient monitoring, medication reconciliation, care planning, and patient engagement between visits. Commercially it's a revenue share against existing CMS codes with $0 out of pocket and what the company describes as guaranteed profitability, launching in four to six weeks. It reports over 90% patient retention, 86% better medication adherence, and a 63% reduction in emergency department utilization, all company-reported.
Limitation: no HIPAA or BAA statement appears on the page, and a revenue-share model only works if you have the billable patient volume to make it worthwhile.
3. Carenet Healthcare
Best for: organizations that need nurse triage at scale with physician escalation behind it.
Pricing: Not publicly listedLocation: Not publicly listedModel: Nurses plus physician e-consultsTrial: Not publicly listed
Carenet combines registered nurses with physician e-consults to deliver a triaged virtual care experience, and it's built for volume rather than for a single small practice. The nurse triage and after-hours clinical support lines are the relevant products here, giving patients a clinical assessment out of hours instead of a message taken by someone who can't advise them. Because physicians sit behind the nurses, a case that exceeds nursing scope has somewhere to go without defaulting to an emergency department. The company reports cutting costs by 67%, which is its own figure rather than an independent one.
Limitation: neither pricing nor nurse licensure jurisdictions are published, and its scale suits larger organizations more than a small practice.
4. RelateCare
Best for: health systems that want triage plus structured post-discharge follow-up from the same provider.
Pricing: Not publicly listedLocation: Not publicly listedModel: Nurse-delivered telephonic servicesTrial: Not publicly listed
RelateCare runs telephonic nurse triage giving patients 24/7 access to healthcare advice, and pairs it with post-discharge follow-up and wellness programs. That combination is the reason to look at it, because the readmission risk sits in the days after discharge and a structured nurse call in that window addresses a problem most practices know about but don't staff for. Its own framing is about getting patients to the right level of care, which is what triage should do rather than simply relaying a message.
Limitation: enterprise-oriented with no published pricing or licensure detail, so small-practice fit needs establishing early.
5. ChartSpan
Best for: practices that want a chronic care management program run end to end, including enrollment.
Pricing: Not publicly listedLocation: Not publicly listedModel: Clinical staff, whole functionTrial: Not publicly listed
ChartSpan focuses exclusively on chronic care management, and the the whole-service model is the distinguishing feature. Its clinical staff handle the monthly patient outreach, the time tracking, and the documentation on the practice's behalf, and it runs the enrollment process too, which is the step most practices underestimate and where most CCM programs stall. It also provides a 24/7 nurse care line, so enrolled patients have somewhere clinical to call. The company reports patient savings of $2,457 a year and 20% fewer hospitalisations, both company-reported figures.
Limitation: its pages block full automated access, so staff credentials, licensure, and the fee model all had to be left unverified rather than guessed at.
6. Wellbox
Best for: practices that want monthly nurse contact focused on catching problems early.
Pricing: Not publicly listedLocation: Not publicly listedModel: Nurse-delivered care managementTrial: Not publicly listed
Wellbox delivers chronic care management through monthly nurse interactions aimed at identifying risk before it becomes an admission, alongside patient engagement, health monitoring, and preventative care coordination. It publishes more outcome data than most firms here, reporting that participants' per-beneficiary-per-month Medicare costs fell 10 to 15%, that preventative care measures rose 50% in partner practices, that emergency room visits and hospitalisations fell 60%, and that patient satisfaction runs between 90 and 96%. Every one of those is company-reported and should be read as such, but the volume of specifics is at least something to interrogate in a sales conversation.
Limitation: no staff credentials, no pricing, and no HIPAA or BAA statement appear on the page.
7. CareHarmony
Best for: groups that want care coordination designed with them rather than delivered off a template.
Pricing: $0 upfront investmentLocation: HQ Brentwood, TennesseeModel: Nurses plus platformTrial: Not publicly listed
CareHarmony pairs nurses with population health experts, data scientists, and engagement specialists, working through its CareBlocks platform, and describes a consultative relationship where program design is done with the practice rather than handed over. It requires $0 upfront investment from partners, and states that over 100,000 people rely on it and that the platform lets a team manage up to ten times the population a standard model can. Patient accounts on its site describe medication access help, post-discharge follow-up calls, and general health management support, which is a fair picture of what care coordination looks like day to day.
Limitation: no staff credentials, no licensure detail, and no HIPAA or BAA statement on the page, which is a real gap for a firm handling PHI.
Should you choose licensed nurse, administrative assistant, or answering service?
These three get shopped interchangeably and they aren't interchangeable at all. A licensed nurse can assess a patient, advise on a symptom, educate on a treatment plan, and decide that someone needs to be seen. That's the whole point of paying for one, and it's the only option on this page that can do it.
An administrative assistant with a clinical background costs less and covers a lot of ground, including outreach, scheduling, records, prior authorizations, and documentation. What they must not do is advise. Several firms in this market blur that line in their marketing, so ask directly, and treat a vendor that states the boundary plainly as more trustworthy rather than less.
An answering service is cheaper again and takes messages, routing urgent calls to your on-call clinician. It's the right purchase if your problem is calls going unanswered, and the wrong one if your problem is patients needing clinical guidance out of hours. Worth being clear about which problem you have before you compare prices, because the three products differ in cost by an order of magnitude and the cheapest one cannot do the clinical job.
What are the risks of remote licensed nursing?
- Licensure in the wrong state. A nurse must generally be licensed where the patient is, or hold a multistate license under the Nurse Licensure Compact. Ask for the states, in writing.
- Scope creep in either direction. Unlicensed staff advising patients is the obvious risk; paying nurse rates for administrative work is the quieter one.
- No BAA in place. Several providers here handle PHI without stating one on their page.
- Documentation that won't support billing. If you're claiming CCM codes, the time tracking has to hold up.
- Revenue-share economics that only work at volume, leaving a small practice with a program nobody enrolled in.
- Enrollment stalling, which is where most chronic care programs fail.
- Company-reported outcome figures taken at face value. Every number in this category came from the vendor.
- Continuity. A patient with a chronic condition benefits from the same nurse, so ask about turnover.
How much does remote licensed nursing cost?
Published pricing is scarce and the models differ so much that a straight comparison isn't possible. Honest Taskers publishes $10.00 to $12.65 an hour for remote staff. Signallamp Health charges $0 out of pocket and takes a share of what you collect through existing CMS codes. CareHarmony also requires $0 upfront. Carenet, RelateCare, ChartSpan, and Wellbox all quote on request.
The two shapes carry different risk. An hourly rate is predictable and you own the outcome, which suits a practice that knows what it wants done. A revenue share against CCM codes means no cost if nothing is billed, but the provider's incentive is enrollment volume, and the arrangement is only worth their while if you have enough eligible patients. Ask what happens if enrollment comes in below expectation, and ask who owns the patient relationship if you part company. Rates and models change, so treat all of this as a dated reading and confirm before signing.
What should you look for when a telehealth nurse's licensure matters?
- The states each nurse is licensed in, and whether they hold a compact multistate license. Signallamp states same-state licensure outright; ask everyone else.
- How licensure is verified and how often it's re-checked.
- Whether nurses are employed or contracted, since employment usually means better continuity.
- Whether they work inside your EHR or in a separate system you'll have to reconcile.
- A written scope of practice, saying what the nurse will and won't do.
- A signed BAA, which several providers here don't mention at all.
- Documentation good enough to support the codes you intend to bill.
- Enrollment responsibility, and what happens if uptake is low.
How do you get started with a US-licensed registered nurse telehealth company?
- Decide whether you need clinical judgement or administrative capacity, since that choice sets your budget.
- List the states your patients are in, because that determines which providers can legally serve you.
- Count your eligible patients if you're considering a CCM revenue share.
- Write the scope of practice you want the nurse to work to.
- Shortlist two or three providers and ask each for licensure states and a BAA in writing.
- Ask how documentation supports billing, and see an example.
- Start with one condition group or one clinician's panel rather than the whole list.
- Review at 90 days on enrollment, patient contact rates, and whether admissions moved.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording who delivers the care and their stated credentials, licensure and location, the fee model, clinical scope, and stated compliance posture. Licensure and compact rules come from the National Council of State Boards of Nursing, and chronic care management billing rules from CMS. Every outcome figure quoted here is company-reported and labeled as such, because none of these firms publishes independently audited results. Rates are volatile and were captured as dated points rather than quotes, so re-check before you buy. Facts a company didn't publish are marked "not publicly listed". ChartSpan's pages block full automated access, so only what its chronic care management page states is included. Nurse job boards and recruitment networks were excluded because they connect nurses to employers rather than providing a service a practice can buy.
Related clinical support guides
If what you need is triage specifically rather than ongoing care management, our telephone triage medical assistant page sets out where triage sits and who is qualified to perform it.
Running a monitoring program? Our remote patient monitoring assistant page covers the support work around device data, patient onboarding, and follow-up between visits.