Chronic Disease Nurse RN (Medtech)

TL;DR

Chronic Disease Nurse RN (Medtech): Providing telephonic wellness and disease management for members with chronic conditions with an accent on clinical profile development and individualized care planning. Focus on coordinating care, facilitating referrals, and ensuring compliance with regulatory standards in a remote healthcare environment.

Location: Remote, United States. Must possess an active Compact Licensure and be available to work within the Pacific Timezone. California, Washington, and Oregon licenses required after hire.

Salary: $31–$38 per hour.

Company

hirify.global provides a personalized health platform that integrates health plan administration, holistic wellbeing solutions, and care navigation for employers and health systems.

What you will do

• Coordinate wellness and disease management telephonically for members with chronic conditions like diabetes, asthma, and hypertension.
• Develop comprehensive clinical profiles and individualized care plans based on medical and pharmacy claims data.
• Collaborate with members to ensure primary care provider assignment and facilitate specialist referrals.
• Support the Utilization Review process in accordance with organizational and regulatory standards.
• Maintain accurate, timely documentation of all patient contacts and interventions while ensuring HIPAA compliance.
• Monitor high-risk member populations to demonstrate improvements in overall health outcomes.

Requirements

• Graduate of an accredited Registered Nurse (RN) program with a current, unrestricted US license.
• Must possess an active Compact Licensure.
• Must be available to work within the Pacific Timezone.
• California, Washington, and Oregon licenses required after hire.
• Foundational knowledge of medical claims processing, medical terminology, ICD10, CPT, and HCPCS coding.
• Strong verbal and written communication skills with the ability to work independently.

Nice to have

• Bilingual English/Spanish proficiency.
• Prior experience in case management or disease management coordination.

Culture & Benefits

• Competitive base salary and benefits package effective from day one.
• Comprehensive medical and dental coverage through company solutions.
• Paid Time Off and mental health support.
• Retirement planning and financial protection benefits.
• Professional development opportunities with clear career progression and learning budgets.
• Mission-driven culture focused on improving health outcomes.