Onboarding & Delivery Process
How We Partner & Care
A structured, end-to-end approach to aligning with your practice, identifying eligible populations, and delivering continuous longitudinal care.
1
Practice Alignment
BloomCare meets with the provider group to understand patient populations, workflows, diagnoses, payer mix, program goals, escalation preferences, and operational needs.
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2
Patient Identification
Eligible patients are identified for CCM, RPM, BHI, TCM, add-on support programs, caregiver support, and specialty pathways.
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3
Patient Outreach & Enrollment
BloomCare contacts patients and caregivers to explain BloomCare, confirm interest, answer questions, review services, and support enrollment.
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4
RN Assessment
Each patient receives a thorough onboarding assessment covering diagnoses, medications, symptoms, risk factors, barriers, SDOH needs, goals, caregiver involvement, and care preferences.
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5
Individualized Care Plan
BloomCare creates and maintains a detailed individualized care plan unique to each patient's condition, risk level, goals, and support needs.
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6
Monthly Support & Monitoring
Patients receive recurring RN-led engagement, education, care plan reinforcement, medication support, symptom tracking, resource connection, and escalation support.
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7
Escalation & Provider Coordination
When a patient has concerning symptoms or same-day needs, BloomCare RNs escalate to the practice and can coordinate with designated on-demand providers on behalf of the practice when immediate attention is required.
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8
Reporting & Optimization
BloomCare provides visibility into enrollment, engagement, risk, escalation activity, patient needs, and program performance.