Operationalize Care Management
Transform Care Management into a Strategic Advantage
Coordinista is the operational intelligence layer that helps health plans operationalize, orchestrate, measure, and continuously improve care management for high-acuity populations.
Care Management is One of Your Greatest Opportunities
For Medicare Advantage and Dual Eligible and Dual Special Needs (DSNP) plans, care management is one of the most influential drivers of quality performance, member outcomes, and total cost of care.
Every day, nurses and social workers coordinate complex care for members living with multiple chronic conditions, behavioral health challenges, social barriers, and frequent transitions between care settings.
Their work directly influences:
Hospital readmissions
Medication adherence
Transitions of care
Preventive care completion
Member engagement
Quality performance
Total cost of care
Yet despite its strategic importance, the operational execution of care management often depends on manual coordination, disconnected workflows, and limited visibility into what is actually working.
The Next Frontier – Better Execution.
Coordinista takes health plans beyond documentation and knowing which members are at risk.
We help you determine the operational questions:
Which members should receive an in-home visit?
Which members can be effectively managed telephonically?
When is a virtual visit appropriate?
How quickly should outreach occur after discharge?
When should medication reconciliation be prioritized?
How do you coordinate nurses, social workers, pharmacists, and community partners?
How do you adapt as member needs change?
Operational excellence has become one of the greatest opportunities to improve outcomes.
Introducing the Operational Intelligence Layer for Care Management
Coordinista sits between your care management strategy and its execution.
Your care management platform identifies members, supports assessments, and documents care plans.
Coordinista operationalizes how those care plans are carried out.
It helps teams coordinate field-based and telephonic care, prioritize changing caseloads, balance workloads across large territories, and orchestrate multidisciplinary interventions—all while capturing the operational intelligence behind every interaction.
Coordinista Delivers the Care Management Intelligence Loop
Operationalize — Turn care plans into coordinated action.
Orchestrate — Deliver the right intervention through the right team at the right time.
Learn — Use those insights to continuously improve future care management strategies.
Deliver the Right Intervention, the Right Way
Every member is different.
Not every discharge requires the same level of intervention.
Not every medication issue requires an in-home visit.
Not every outreach attempt should follow the same sequence.
Coordinista enables health plans to operationalize care based on clinical priorities while creating consistency across every care manager, every region, and every member journey.
Success isn't measured by how many members were contacted. It's measured by whether the right intervention happened when it mattered most.
From Field Execution to Operational Intelligence
Most organizations can report that a medication reconciliation was completed. Coordinista helps you understand WHEN and HOW it is effective.
Over time, your organization begins answering questions such as:
Do in-home medication reconciliations within 48 hours reduce readmissions more effectively than telephonic outreach?
Which diagnoses benefit most from face-to-face engagement?
How does time from discharge to first contact influence outcomes?
Which outreach strategies produce the highest medication adherence?
Which care delivery models achieve the strongest member engagement?
How does clinician time investment correlate with outcomes?
Which operational workflows consistently improve quality performance?
Every completed intervention becomes another opportunity to learn. Every member interaction strengthens future decision-making.
Medication Adherence Begins With Better Care Coordination
It begins with understanding whether members have the medications they need, know how to take them, and have the support to stay on therapy.
Coordinista helps operationalize medication adherence through coordinated workflows that support:
Timely post-discharge outreach
In-home medication reconciliation
Identification of medication discrepancies
Coordination with providers and pharmacies
Follow-up on adherence barriers
Ongoing monitoring of high-risk members
When medication management becomes part of a coordinated care strategy and not an isolated task, health plans gain greater visibility into what drives adherence and where additional support is needed.
Built by a Care Manager Who Experienced the Challenge
Before founding Coordinista, I served as an RN care manager for high-risk Medicare and Medicaid populations.
Like many care managers, I managed large caseloads across broad geographic regions while coordinating hospital discharges, preventive care, medication reconciliation, physician communication, and community resources.
By redesigning operational workflows and focusing care teams on delivering the right interventions at the right time, we achieved a 30% reduction in hospital readmissions among our high-risk populations.
Leveraging prior experience using technology to manage statewide campaigns and ballot initiatives, I created Coordinista to help health plans modernize care management at scale.
Ready to Transform Care Management?
Care management is one of the greatest opportunities health plans have to improve outcomes for high-acuity populations.
The organizations that lead the future won't just identify high-risk members more accurately.
They'll execute care more intelligently.
See how Coordinista helps health plans operationalize, orchestrate, and continuously improve care management.