Using innovation to influence a change for good

When more people have easier access to quality health care, more communities will thrive. That goal inspires JoinCareTeam to provide optimized care solutions for underserved patients.

Powered by Certintell Telehealth, JoinCareTeam’s services and technology aid clinical workflows in providing the best possible care in order to improve the health, happiness, and livelihood of everyone we serve.


  • Through credentialed doctors, nurses and certified clinical health coaches, we support patients on their journey to better health.
  • Additional care team members may include peer advocates, social workers, interpreters and other health care support staff as needed.


  • Together, patients will work with their care team to create an individualized plan of action and carefully track progress over time to determine health trends.
  • Our essential care management solutions use specific workflows to improve health outcomes and reduce hospital admissions for patients with, or at risk for, chronic conditions and behavioral health issues.


  • Our web-first telehealth portal provides individuals from various backgrounds access to health care from any device, anywhere.
  • Via computer or smartphone, patients will be able to connect to a team of experts (including up to 4-way calls) who will tailor a care plan specifically to them.

Our patient-centered services include:

  • Remote Patient Monitoring (RPM)
  • Remote Therapeutic Monitoring (RTM)
  • Health Risk Assessment (HRA)
  • Annual Wellness Visit (AWV)
  • Transitional Care Management (TCM)

Learn more

Our team

Ronald McHose – D.O. FAAFP – Medical Director

Dr. McHose has 36 years of traditional rural-based family medicine experience. He has been an owner and director of two rural health clinics (RHCs) for over 30 years. His direct experience with the day-to-day challenges and opportunities of practicing and management in those settings gives him a very unique perspective. Distinctions also include the Teacher of the Year award for Community-Based Medicine from Des Moines University. Main areas of focus with JoinCareTeam include medical innovations for preventive medicine, remote patient monitoring, and telemedicine.

Sara Saunders – DNP, ARNP, FNP-C – Clinical Unit Director

Sara is board certified as a Family Nurse Practitioner.  She received her Doctorate of Nursing Practice from Creighton University and completed her Bachelor’s of Science in Nursing with a minor in Spanish at the University of Iowa.  Her prior clinical experience as an RN consists of critical care and emergency medicine, allowing her to experience the challenges that underserved patients encounter on a daily basis.  She truly enjoys being a team member at JoinCareTeam to provide evidence-based practice and patient-centered care in order to help bridge the gap in care delivery.

Pamela Burley – Clinical Unit Manager & Lead Certified Health Coach

Pamela has 20 years of experience in clinical and administrative support for nursing and speech, physical, and occupational therapies. Her background includes acute, trauma, sub-acute care, long-term care, medication administration, and direct care. She has worked closely with geriatric, pediatric, behavioral health, and cognitively challenged patient populations. Pamela believes that health coaching highlights the importance of preventative care while respecting patient autonomy and fostering healthcare engagement.


I started working in health care because I wanted to help people and make them feel heard and seen. I love working with JoinCareTeam patients across the United States for many reasons, but the main being the patients are always so grateful to be supported.


Having been in the military, I witnessed what happens to our Soldiers when they go to battle and come back injured. So that was my inspiration to enter health care. Now, with 30 years in health care and working for JoinCareTeam, I can be of service and work remotely.


I started working in health care because my grandmother became sick, and I felt the need to care for her as she did for me when I was little. That’s when I realized helping others was my calling. I enjoy having relationships with different people from all across the United States.


I get the internal satisfaction of helping people improve their quality of life by providing them with top-notch care. At JoinCareTeam, I get the ability to interact with a diverse group of patients daily. I’m enamored of the interpersonal relationships I build with patients.


I entered healthcare in 2013 and have known since then that I was on the right path. I enjoy making a difference in our patients’ lives and listening to them when they need someone to listen.


I started caring for a friend’s elderly mother and realized I was passionate about helping others. My favorite part of working with JoinCareTeam is the opportunity to work and speak to patients I would never have had access to before. I love bridging the care gap!


Health care is a challenging but rewarding industry. I started working in the field because I get to help and impact people’s lives while still making a living. JoinCareTeam is amazing and has made it possible to help, interact and support people all over the United States!


I work in health care because I want to help people live a long, healthy life. My favorite part of the job is meeting new people and hearing their stories.