Care Coordination Platform

Care Continuum

Optimize referral workflows to reduce leakage, improve access, and enhance coordination across care networks.

Three connected modules cover the hand-offs where care is most often lost — the outbound referral, the imaging order, and the days right after discharge.

  • ReferralTrack Referral intake, authorization, and scheduling tracked to completion
  • Imaging Referral Diagnostic orders placed, authorized, and followed through to the result
  • Transition Care Management Post-discharge outreach coordinated to the follow-up visit
The care continuum Referral, imaging and transition workflows connected in a continuous loop around the patient record. PATIENT Referral Imaging Transition

Care Continuum

ReferralTrack

Referral management that closes the loop

Healthcare referral management and referral workflow automation.

ReferralTrack brings the entire referral journey into one connected workflow — from referral intake and provider coordination to pre-authorization, appointment scheduling, and completion.

  • Descriptive dashboards with referral status at a glance
  • Patient prioritization, tracking, and appointment scheduling
  • Streamlined pre-authorization and imaging referral workflows
  • AI-powered outreach, provider matching, and escalation via the Nutek Referral Agent

Technology: EHR-integrated workflows via HL7 and FHIR, HIPAA-aligned safeguards, Nutek AI automation.

ReferralTrack — Worklist
Open referrals Queue
Needs follow-up Flagged
Closed this week On track
  • Cardiology referral AI outreach sent — awaiting patient response Outreach
  • Imaging referral Pre-authorization in progress Pre-auth
  • Orthopedics referral Provider matched — appointment scheduled Scheduled
  • Neurology referral Follow-up complete — loop closed Closed

Illustrative product view — representative of ReferralTrack workflows

How it works

  • Referral Received
  • AI Patient Outreach
  • Patient Response
  • Provider Matching
  • Assignment
  • Follow-up
  • Referral Closed
Imaging Referral

Diagnostic imaging referrals, ordered and tracked end to end

Imaging referral management and diagnostic workflow automation.

Imaging Referral streamlines diagnostic imaging workflows with intelligent automation and real-time tracking. It enhances provider collaboration, reduces delays, and ensures faster, more accurate patient care coordination.

  • Clinical evaluation captured with the imaging order
  • Imaging tests and procedures ordered in one place
  • Real-time tracking from order through to result
  • Provider collaboration across referring and reading teams

Technology: EHR-integrated workflows via HL7 and FHIR, HIPAA-aligned safeguards, Nutek AI automation.

Imaging Referral — Worklist
Open orders Queue
Needs pre-auth Flagged
Completed this week On track
  • MRI brain Clinical evaluation complete — order generated Ordered
  • CT chest Eligibility check in progress Pre-auth
  • X-ray knee Coverage verified — appointment scheduled Scheduled
  • Ultrasound abdomen Results returned to referring provider Closed

Illustrative product view — representative of Imaging Referral workflows

How it works

  • Clinical Evaluation

    Imaging order generated from the clinical evaluation.

  • Order Generated

    Referral created with the data the imaging site needs.

  • Eligibility Check

    Coverage and pre-authorization verified.

  • Appointment Scheduled

    Imaging appointment booked with the site.

  • Result Returned

    Report returned to the referring provider.

Transition Care Management

Post-discharge care, coordinated through to the follow-up visit

Transitional care management and post-discharge workflow automation.

Transition Care Management streamlines post-discharge care coordination with customizable workflows and real-time tracking. Designed to support long-term provider relationships, it enhances continuity, reduces readmissions, and improves patient outcomes.

  • Outreach tracked to two attempts within 48 hours of discharge
  • Workflow prioritization across the discharge queue
  • Follow-up assessment and documentation in one workflow
  • Transitional care appointment scheduling and reminders
  • Accurate TCM billing with a filterable billing and email log

Technology: EHR-integrated workflows via HL7 and FHIR, HIPAA-aligned safeguards, Nutek AI automation.

Transition Care — Worklist
Discharges this week Queue
Within 48 hrs Flagged
TCM billed On track
  • Discharge received Outreach attempt 1 of 2 — within 48 hrs Outreach
  • Follow-up assessment Assessment and documentation in progress In progress
  • Appointment booking Transitional care visit scheduled Scheduled
  • Billing & email log TCM claim ready for submission Billed

Illustrative product view — representative of Transition Care Management workflows

How it works

  • Discharge Received

    Discharge notification arrives from the facility.

  • Patient Outreach

    Two attempts made within 48 hours of discharge.

  • Follow-up Assessment

    Assessment and documentation completed.

  • Appointment Booking

    Transitional care visit scheduled.

  • TCM Billing

    Claim prepared with a filterable billing log.