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Personal Care

Run High-Volume Personal Care Without Losing the Individual Case.

Personal care agencies coordinate recurring services across changing schedules, authorization limits, field conditions and workforce requirements. Nuraflow is designed to connect referrals, staffing, EVV, billing, payroll and compliance around the same case.

Nuraflow is pre-launch. These workflows describe design intent; qualified agency staff remain accountable for clinical, staffing, compliance and billing decisions.

Also called: Personal assistance services, private duty, non-medical.

Operating Journey

How Personal Care Moves Through the Agency.

Each stage names the accountable role, the record it must produce and the failure that connected software should help prevent. Product mechanics live on the Platform page and are linked directly.

  1. 01

    Referral, Eligibility and Authorization

    Accountable role: Intake

    See the Platform record
    Record produced
    Qualified referral with payer eligibility and unit limits
    Failure prevented
    Accepting work without a viable service or payment path
  2. 02

    Attendant and Route Recommendation

    Accountable role: Scheduler

    See the Platform record
    Record produced
    Ranked eligible attendants with route, continuity and match reasons
    Failure prevented
    Reducing the decision to availability alone
  3. 03

    Workforce Clearance

    Accountable role: Compliance

    See the Platform record
    Record produced
    Credentials, screens, I-9, training and first-shift gate
    Failure prevented
    Assigning someone before the employee file is ready
  4. 04

    Recurring Schedule and EVV

    Accountable role: Scheduler and attendant

    See the Platform record
    Record produced
    Route-reviewed service with GPS, telephony or approved offline exception and aggregator status
    Failure prevented
    An EVV rejection or offline visit becoming unowned work
  5. 05

    Tasks and Client Record

    Accountable role: Attendant and supervisor

    See the Platform record
    Record produced
    Completed tasks, observations and escalation
    Failure prevented
    Care evidence living outside the authorized service
  6. 06

    Billing, Payment and Payroll

    Accountable role: Billing and payroll

    See the Platform record
    Record produced
    Payer response, payment, A/R and pay detail derived from the same visit
    Failure prevented
    Re-keyed hours, authorization conflicts and payroll disputes
  7. 07

    Family Update

    Accountable role: Office and authorized family

    See the Platform record
    Record produced
    Permission-scoped schedule and communication history
    Failure prevented
    Status calls becoming the only way a family can know

  8. Closed Loop

    Authorized Service, Pay and Family Record Reconciled

    The final record preserves accountable decisions and the evidence produced across the journey.

Operating Reality

What Running Personal Care Actually Demands.

01

Attendant Onboarding Gates

Personal attendant hiring carries a specific gate set: eligibility verification, exclusion screening, competency evidence and orientation, each of which must be complete before a first shift. Nuraflow is being designed to enforce those gates at the point of scheduling rather than auditing for them afterwards.

02

State Licensure Structure

The operating model is being designed around branch-specific forms, inherited requirements and effective-dated state rule sets, including Texas HHSC requirements for personal attendant services. Local exceptions remain visible without fragmenting the agency-wide record.

03

Medicaid, EVV and Multi-Payer

Programme rules, eligibility, authorization limits and visit verification requirements differ across Medicaid, private pay, veterans programmes and long-term care insurance. GPS, telephony and offline EVV are designed to route through state aggregators, payer responses and A/R follow-up without recreating the service record.

04

Turnover as An Operating Condition

Personal care runs the highest turnover of the three lines. Hiring is treated as a permanent function with a standing pipeline, not as an occasional project, which is why the recruiting and credentialing layer was built first.

Other Lines of Care

Home HealthHospice

Founding Cohort

Bring Us Your Personal Care Workflow.

Show us where the work enters, who decides, what record is produced and how your agency knows the loop is closed.

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