The operating system for case management agencies.

Built for Medicaid waiver case management. Run leadership, supervision, and the care team's day on one connected platform.

Executive Operations
Referra OS Executive Operations dashboard showing $20K revenue at risk across 66 expiring authorizations, $105K month-to-date revenue, 90 percent compliance, and program performance broken out by waiver type for a 500-client multi-county case management agency
One platform Every role in the agency on the same system
In context The record is open, the history is right there
Audit-ready Documentation pulled in minutes, not days
Enterprise-grade Built on Salesforce
HIPAA-ready SOC 2 Type II infrastructure BAA available FedRAMP-authorized environment Built on Salesforce
The operating core

The operating core of a case management agency.

Bring leadership, supervision, and care coordination onto one connected platform — so your team spends the day on the care work, not the coordination of it.

One platform, not seven tools.

Run the work of the agency on one connected system.

See the agency in real time.

Spot risk, workload, and revenue across the agency without scheduling another meeting.

A simpler day for the team.

Less coordination drag. Less burnout. So your best people stay.

Who it's for

Built for case management agencies of every size.

Owner-led agencies to multi-county teams. Each role gets the view built for the way they actually work.

Executive leadership

Workload, risk, and revenue across the agency — in real time.

Program managers and supervisors

Manage the case manager team from one view. See where the work is and where it's stuck.

Case managers and support staff

The client, the documentation, and the compliance work — on the same record.

Providers

A dedicated portal for referrals, authorizations, and coordination with the case manager.

The client at the center

The client record care coordinators actually want to open.

Everything your team needs about a client, on one record — from intake through annual reassessment to transition.

Client · CLT-000002
Referra OS Client record CLT-000002 (Sarah Torres) showing related Service Relationships grouped by provider with Auth Through dates, Support Plans with effective and expiration dates, Service Authorizations with status and provider, and attached Files including Annual Assessment, two ROIs, and Person-Centered Support Plan
Timeline
Referra OS Client Timeline showing Upcoming & Pending events including signature requests, MnCHOICES reassessment due, and authorization expirations, plus Completed events including visits, plan distribution, and signatures from the client, case manager, and provider, with each event labeled by actor

See the full client picture in one place.

Plan, services, providers, files, and history — the moment the record opens.

Coordinate every provider on one record.

When more than one provider serves the client, your team coordinates from a single record — not two systems and a thread of emails.

Catch deadlines before they pass.

Renewals, reassessments, and signature deadlines surface on the timeline — so the team works ahead of the calendar.

The service relationship

One record per service. Every party on it.

Every service has more than one party doing the work. Referra OS puts them on the same record.

Connect every party on one record.

Agency, case manager, client, and provider on the same source of truth — so everyone serving this client works from the same page.

Anchor every service to its plan and authorization.

Dates, hours, and approvals connected to the service the moment it begins.

Keep the conversation with the relationship.

Coordination stays on the record — not with whoever was on the email.

Service Relationship · SR-000003
Referra OS Service Relationship record SR-000003 showing the client (Sarah Torres), agency (Northern Case Management), provider (Riverdale Employment Services), assigned case manager (Thomas Brown), and assigned provider contact (Christine Berg) on one record, anchored to authorization AUTH-000003, with the active status path and a chatter thread between the case manager and provider visible on the record
Compliance

Compliance, built into operations.

Required items live on the records they govern. Deadlines surface before they pass. Audit history builds itself.

  • Required items in context. Status and deadline on the record they govern.
  • Issues surfaced earlier. Overdue and expiring work on the dashboard before the deadline hits.
  • Records ready on request. Documentation pulls from the platform in minutes — ready when the county asks.
  • Defensible history. Every action timestamped and attributed. The audit trail builds itself.
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Compliance Summary · Audit Ready
Compliance summary showing required-item status, deadlines, and audit readiness in context
Required compliance items tracked per client with deadlines and status indicators
Capabilities

Everything an agency needs to run the operation.

Six capability areas. One platform. Purpose-built for the work of care coordination.

C01

Leadership and supervisor oversight

Caseloads, workload, performance, and risk in one view — so leadership runs the agency on real numbers.

Leadership view
C02

Case manager workflows

The records, tasks, and follow-up of the daily workflow on one platform — so coordination doesn't stall the work.

Daily execution
C03

Documentation and files

Notes, files, and history in the context of the record they belong to — so the team finds what they need without asking.

Operational records
C04

Billing workflows and tracking

Revenue operations connected to the service work that generates them — so billing keeps pace with delivery.

Revenue operations
C05

Compliance and required-item tracking

Required items in context. Gaps surfaced before they become audit problems.

Risk controls
C06

Referrals, providers, and coordination

Referrals, responses, authorizations, and ongoing coordination — in one flow providers actually want to use.

Network execution
Pricing

Pricing aligned to agency scale.

Full platform access at every tier. Provider access included. Priced by client count.

Starter
Up to 200 clients
  • Up to 10 agency users
  • Full platform access
  • Provider portal included
  • Standard onboarding & support
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Enterprise
Up to 2,500+ clients
  • Up to 75+ agency users
  • Full platform access
  • Provider portal included
  • Dedicated onboarding & support
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Annual contracts. Custom tiers available for larger agencies.

Trust & infrastructure

Built on Salesforce. Trusted for sensitive operations.

Trust isn't bolted on. It's built in. Referra OS runs on the same Salesforce infrastructure your security and procurement teams already know how to evaluate — role-based access, audit trails, and encryption included.

SOC 2 Type II infrastructure HIPAA-ready configurations BAA available FedRAMP-authorized environment 99.9% uptime SLA
FAQ

Frequently asked questions

The questions agencies ask before they run a demo.

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Case management agencies running Medicaid waiver services — and the provider networks they coordinate with.

Referra OS unifies the operational side of the agency. It doesn't replace the tools you already use for clinical documentation, payroll, or state-required processes.

No. Provider access is included in the platform model — no separate license required.

Implementation timelines depend on migration scope, configuration needs, and rollout approach.

Yes. HIPAA-ready configurations and BAA support are part of the platform.

Your agency owns its data. Records, files, and audit history export in standard formats.

See how Referra OS fits your agency.

A 30-minute walkthrough on real records and real workflows.

Demo intake Approx. 2 minutes

We'll reach out within one business day to schedule your walkthrough.