ComplexCare Solutions

With over 2,500 clinicians serving 43+ states and U.S. territories, CCS partners with Commercial, Medicare, and Medicaid plans to evaluate members' current health status, identify gaps in care, assess potential health risks, and uncover care management opportunities. The organization has been operating for over 15 years and maintains a multilingual, U.S.-based contact center to facilitate member engagement. For nursing professionals, particularly Nurse Practitioners and Advanced Practice Providers, CCS offers a care delivery model that departs from traditional clinical settings. Providers conduct in-home and virtual assessments, spending a full hour with each member to capture a comprehensive picture of their personal health needs. The company emphasizes schedule flexibility, stating that schedules adapt to the clinician's life rather than the reverse. CCS operates on behalf of SME Medical Delaware, P.A. for its clinical workforce, and positions are structured around completing member assessments rather than traditional shift-based nursing roles.

CCS's stated belief is that 'Outcomes Improve When Members Feel Seen and Supported.' Their leadership team brings experience from health plan operations, clinical practice, and healthcare program leadership. The organization values engagement that earns trust, beginning with respectful outreach through a multilingual, U.S.-based contact center informed by data and patient context. Their mission centers on enriching healthcare outcomes by strengthening the connection between the plan, patient, and provider.