Pediatric Field Care Manager, Nurse

Location: Remote Illinois; must reside in Illinois or a border state within a commutable distance of Illinois. Requires up to 25% travel for field-based member interactions and occasional meetings at hirify.global's Illinois offices. Working hours are Monday–Friday, 8:00 AM–5:00 PM CST, with flexibility based on business needs.

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 providing healthcare services to members, families, individuals, and communities.

What you will do

• Coordinate care for pediatric members with chronic conditions, complex medical needs, developmental disabilities, behavioral health conditions, and medically fragile conditions.
• Conduct telephonic and face-to-face assessments, develop individualized care plans, and coordinate care management activities.
• Collaborate with families, caregivers, providers, community resources, medical directors, and interdisciplinary care teams.
• Identify and resolve barriers to effective care while monitoring progress toward desired outcomes.
• Coordinate physical, behavioral, developmental, medical, and psychosocial support across the continuum of care.
• Maintain contractual and regulatory compliance and make independent decisions in ambiguous situations.

Requirements

• Associate degree in nursing required.
• At least 3 years of clinical experience and 2 years of care management experience.
• At least 1 year of acute care clinical experience in a hospital, emergency department, home health, rehabilitation, ambulatory care, skilled nursing, behavioral health, case management, disease management, utilization management, or clinical triage setting.
• Knowledge of community health, social service agencies, and community resources.
• Ability to use electronic medical records and other electronic information applications, with strong keyboard and web navigation skills.
• Valid state driver's license, personal vehicle liability insurance, and willingness to travel up to 25% are required.

Nice to have

• Bachelor of Science in Nursing, case management certification, or motivational interviewing certification.
• In-home assessment, care coordination, health promotion, coaching, wellness, or managed care experience.
• Experience with early intervention, individualized education programs, pediatric behavioral health, autism spectrum disorders, ADHD, developmental disabilities, or medically complex children.
• Bilingual ability in Spanish, Arabic, Vietnamese, or another language.
• Knowledge of pediatric developmental milestones and age-appropriate care management interventions.

Culture & Benefits

• Remote work arrangement with required field travel and occasional onsite meetings.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability, life insurance, and additional wellness benefits.
• Work from a dedicated space with internet service of at least 25 Mbps download and 10 Mbps upload to protect member PHI and HIPAA information.