Case Manager (CCM)

Location: Remote within Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. Occasional travel may be required for team meetings and company events.

Salary: $75,348–$98,894 per year in California, Connecticut, New Jersey, New York, and Washington; $67,813–$89,005 per year in other locations.

Company

hirify.global is a health insurance company built around a full-stack technology platform and focused on improving member care.

What you will do

• Coordinate care across inpatient, outpatient, emergency, and home-care settings.
• Partner with members and providers to create personalized care plans and improve clinical outcomes.
• Assess Social Determinants of Health and connect members with appropriate community resources.
• Provide crisis intervention and advocate for members by resolving barriers to care and treatment compliance.
• Educate members by phone, secure messaging, and in person about health conditions, hospital discharges, procedures, and prescriptions.
• Contribute to process improvement initiatives and pilot programs while maintaining confidentiality and regulatory compliance.

Requirements

• At least 2 years of clinical experience in hospital, outpatient, or community-based care management.
• At least 2 years of direct experience supporting patients with chronic conditions such as diabetes, COPD, or hypertension.
• At least 1 year of experience in care coordination and navigation.
• Active, unrestricted US RN license in a state, an active compact multistate unrestricted RN license, or an MSW from a nationally accredited school approved by the Council on Social Work Education.

Nice to have

• BSN.
• Licensed Master Social Worker or Licensed Clinical Social Worker credential.
• CCM or Complex Case Management certification.
• Case management experience.
• Spanish bilingual skills.

Culture & Benefits

• Full-time employment with medical, dental, and vision benefits.
• Paid holidays, sick time, parental leave, wellness time, and vacation accrual of 15 days per year.
• 401(k) participation, life and disability insurance, and wellness reimbursements.
• Remote work from a home office with occasional team meetings and company events.
• Equal opportunity environment focused on belonging and support.