RN-Led Care - Whole-Person Approach - Technology Enabled - Better Outcomes. Stronger Practices.

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Infrastructure Engine

The foundation of BloomCare’s RN-led longitudinal care infrastructure.

BloomCore™ brings together CCM, RPM, TCM, PCM, and BHI into a single coordinated care model that helps practices support patients between visits.

By blending multi-disciplinary workflows, automated monitoring channels, and continuous clinical touchpoints, BloomCore™ bridges care tracking gaps to optimize panel protection and revenue architectures.

Core Care Management Portfolio

CCM

Chronic Care Management for longitudinal patient wellness protection frameworks.

RPM

Remote Patient Monitoring deploying smart smartphone heart health logging tracking.

TCM

Transitional Care Management securing complex 30-day post-discharge recovery phases.

PCM

Principal Care Management concentrating deep surveillance on single severe conditions.

BHI

Behavioral Health Integration mapping cognitive boundaries across active care tracks.

Why Medical Groups Select BloomCore™

  • Clinically grounded RN-led care coordination layers
  • Whole-person assessments spanning functional and clinical parameters
  • Diagnosis-specific workflows customized to regional risk matrices
  • Daily automated check-ins and condition-based surveillance sweeps
  • Real-time automated alerts for early physiological drift discovery
  • Medication adherence tracking and pharmacy synchronization workflows
  • Nutrition, lifestyle, and dynamic mobility risk mitigation
  • Standardized behavioral health and mental wellness screens at intake
  • Social Drivers of Health (SDOH) identification and barrier resolution
  • Coordinated provider escalation pathways bypassing emergency infrastructure
  • Same-day urgent virtual care support via integrated BloomAccess™ tracks
  • Thorough compliance logs and robust time tracking workflows

Explore BloomCore™ Operations

Let’s identify which BloomCore™ programs fit your patient population, clinical goals, and practice growth strategy.

Request a Strategy Call

GENERAL DISCLAIMER: BloomCare supports provider-led care coordination, documentation workflows, patient engagement, monitoring, and escalation support. Services are subject to payer rules, patient eligibility, medical necessity, provider documentation, and applicable regulatory requirements. BloomCare does not guarantee reimbursement or clinical outcomes.

Add-On Supports

Whole-Person Support Around BloomCore

BloomCare’s add-ons help address the barriers that often prevent patients from staying engaged and improving between visits.

BloomMind

Behavioral Health Support

Emotional wellness check-ins, screening workflow support, care coordination, and escalation routing.

  • 99484
  • 99492, 99493, 99494
  • G2214 when applicable
  • Depression, anxiety, adjustment disorder, chronic disease-related behavioral barriers
  • Screening support
  • Longitudinal wellness check-ins
  • Behavioral health referral coordination
  • Urgent concern escalation
BloomNutrition

Nutrition Support

Chronic disease dietary support, dietitian coordination, food barrier identification, and nutrition goal tracking.

  • 97802, 97803, 97804
  • G0270, G0271 when applicable
  • Diabetes, CKD, obesity, heart failure, hypertension, GI restrictions, malnutrition risk
  • Identify nutrition barriers
  • Coordinate dietitian workflows
  • Support provider-approved dietary goals
  • Escalate poor intake, dehydration, or weight-loss concerns
BloomMove

Movement + Wellness

Movement engagement, safe activity goals, fall-risk awareness, functional wellness, and therapy follow-through support.

  • RTM support areas: 98975, 98977, 98980, 98981 when requirements are met
  • Deconditioning, obesity, fall risk, chronic disease activity barriers, post-discharge weakness
  • Assess movement barriers
  • Support activity goals
  • Track therapy follow-through
  • Escalate falls, pain, or functional decline
BloomMeds

Medication Support

Medication adherence, refill barrier identification, reconciliation support, side-effect triage, and provider/pharmacy routing.

  • Medication-related work may support CCM, PCM, BHI, or TCM time when criteria are met
  • Polypharmacy, long-term medication use, medication nonadherence, complex chronic disease medication needs
  • Medication reconciliation support
  • Refill barrier review
  • Side-effect triage
  • Provider/pharmacy routing
Add-on supports are operational care coordination layers and do not replace medical decision-making, emergency care, or specialist treatment.

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