Brilliant Care’s Chronic Disease Management program provides nurse-led, remote care coordination for patients with hypertension, diabetes, CHF, CKD, COPD, and more. Our team works daily with these patients to reinforce care plans, monitor symptoms and vital signs, and promote healthy behaviors. The goal is simple: keep chronic conditions under control and prevent complications or hospitalizations.

Even with excellent in-office care, many groups find a significant number of patients with uncontrolled blood pressure or blood sugar between visits. The challenge is changing patient behavior at home. That’s where we come in. Our nurses serve as an extension of your practice, providing regular check-ins, medication reminders, diet and exercise coaching, and early issue detection. We give patients what they need most: access - to a knowledgeable professional who can answer questions and guide them in real time.

This high-touch approach gets results. Studies have shown that remote care management can significantly improve chronic disease outcomes. In our own experience, we’ve seen substantial clinical improvements. In fact, our programs have produced measurable reductions in both blood pressure and A1c levels among enrolled patients. In one specialized program for diabetes, patients’ average A1c dropped from 10.81% to 8.14% after enrollment in a comprehensive remote care initiative delivering a reduction in A1c of 2.56, illustrating the potential for life-changing impact.

Brilliant Care’s Chronic Disease Management is nurse-led and tech-enabled. We leverage daily remote vital monitoring when appropriate – e.g. blood pressure cuffs, glucose, monitors, weighing scale or pulse oximeters that transmit readings. Our nurses track trends and intervene at the first sign of concern. We focus on medication adherence and lifestyle: ensuring patients take their medications properly and understand their diets, exercise, and other recommendations. It’s a true partnership with the patient, one that builds trust and accountability over time.

From a practice standpoint, this service is turnkey. There are no additional workloads for your staff – we handle enrollment, patient monitoring, patient care coordination, documentation, and even billing support. There’s also no out-of-pocket cost to your practice; our model leverages reimbursable programs and is structured so that providers incur no financial risk. You get the benefit of improved patient outcomes, without hiring additional staff or stretching your team thinner.