RN Field Care Manager (Medicaid HCBS/LTSS)

Location: Must reside in Michigan, specifically Wayne or Macomb Counties, and be able to drive within the assigned area. This is a remote, field-based role with 75%–90% travel for in-home member visits within a 30–40-mile radius. Schedule: Monday–Friday, 8:30 AM–5:00 PM Eastern Time.

Salary: $71,100–$97,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company serving Medicare and Medicaid members through insurance and healthcare services.

What you will do

• Manage a caseload and complete member assessments in home, community-based, and telephonic settings.
• Provide clinical support and coordinate care plans for members with complex medical needs.
• Conduct InterRAI Integrated Health Care assessments and Nursing Facility Level of Care Determinations.
• Coordinate with interdisciplinary care teams, providers, caregivers, members, and external community resources.
• Address healthcare access barriers and connect members with social, housing, educational, and other services.
• Maintain accurate, timely, and compliant clinical documentation and complete medical complexity oversight activities.

Requirements

• Residence in Michigan, with availability to serve Wayne or Macomb Counties, is required.
• Active Michigan Registered Nurse or Advanced Practice Registered Nurse license with no disciplinary actions.
• At least 2 years of healthcare and/or case management experience.
• Experience with Home and Community-Based Services, waiver programs, LTSS assessments, Medicaid regulations, and person-centered planning.
• Ability to collaborate with interdisciplinary teams and use electronic medical records and other information systems.
• Valid state driver’s license, personal vehicle liability insurance, and ability to complete extensive local travel are required.

Nice to have

• Bachelor of Science in Nursing.
• Experience with InterRAI IHC assessments and NFLOCD documentation.
• Experience in health promotion, coaching, wellness, or managed care.

Culture & Benefits

• Remote work supported by a dedicated, interruption-free workspace that protects member PHI and HIPAA information.
• Internet service with at least 25 Mbps download and 10 Mbps upload speeds.
• Occasional travel to hirify.global offices for training or meetings may be required.
• Medical, dental, and vision benefits, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Eligible mileage includes travel between home and work locations and between client locations during the workday.