Write and sign a care note
Document a note on a member's record using a structured template, then sign it to make it part of the permanent record.
Before you start
- You need a role that can author notes (most clinical care roles can; Care Navigators and Claim Specialists cannot).
- Open the member first: go to Members → Member Search, find the member, and open their workspace.
Steps
- In the member's workspace tab bar, click New Note (in the Documentation group).
- On the New Note screen, pick a template. Each tile shows the template name, its sections, and roughly how long it takes. Templates include Progress Note, History & Physical, Discharge, Procedure, ER, and Critical Care — for routine care management documentation, Progress Note is the usual choice.
- Fill in the note sections. Depending on the template, sections may be laid out as a single page, an accordion, or a step-by-step flow. Some fields pre-fill from the member's chart — review anything pre-filled before signing.
- When the note is complete, click Sign & Submit. If required fields are missing, the editor lists what still needs attention before it will sign.
- After signing, you're taken to the finished note. Signed notes appear on the member's All Notes tab with a Signed badge.
Tips / Troubleshooting
- To change a signed note, open it from All Notes and use the amend or addendum option — signed notes are never edited in place; corrections are recorded as amendments.
- Cancelling the editor returns you to the member's Documentation Hub without saving.
- If a template you expect is missing, ask your administrator — templates are managed centrally.