Nebraska · Grand Island · Madison County

Madison · Grand Island cluster · about 95 mi

Home health visits in Madison County, priced up front.

Rayva sends caregivers in and around Madison nearby home health visits with base pay, every mile and any boost shown before you accept. Free for caregivers.

Free for caregivers Every mile paid You set the radius

Built for CNAs, home health aides, LPNs and RNs.

9:41

Within 25 mi Tue to Sat Wound care

Wound care · Dorothy M.

Tomorrow 9:30 AM · 8.2 mi

$74

1.6x storm

Med management · Earl T.

Tomorrow 1:00 PM · 12.6 mi

$61

Vitals check · June R.

Thu 3:15 PM · 5.1 mi · you know June

$52

Accept all 3 as one route

42 mi loop · $187 · home by 4:30

Build route

Home Offers Route Earnings

App preview · now in development

35,579

people in Madison County (Census estimate, 2024)

62.1

people per square mile across 573 square miles

95 mi

from Madison to Grand Island, the nearest Rayva cluster

72.5¢

the 2026 IRS rate per mile. Rayva prices mileage into every offer

Madison County

What the numbers mean for a caregiver here.

At about 62.1 people per square mile, Madison County is typical rural Nebraska: a county seat, a few towns, and patients spread along the highways between them. A 20 to 30 mile radius is normal, and the mileage on each offer is what makes those visits worth taking.

Madison is about 95 miles from Grand Island, the nearest cluster today, which is too far to share caregivers day to day. Madison County opens on its own when enough local caregivers have joined. Every signup here counts toward that, and the mileage model was built for exactly this distance.

The population has held steady since 2020 at about 35,579.

The math, itemized

The drive is on the offer, not on you.

A visit near Madison is a real drive for most caregivers. On Rayva the base rate covers the visit, mileage is priced from where you are, and a boost is added when the county is short or the roads are bad. The total is what you are paid.

Example offer. Rates vary by county, visit type and day.

Personal care · near Madison $75

Base $46 · Mileage $13 · Boost +$16

Accept for $75 Pass

How a county opens

How Madison County opens.

1 · Sign up

Email, ZIP and credential. Thirty seconds, free, no commitment. Your ZIP tells us which county to count you toward.

2 · The county fills

A county opens when enough verified caregivers have joined to cover its visits reliably. You can see where your county stands in the app.

3 · Verification

License, background check and CPR go into one credential passport. Verified once, re-checked automatically, shared with every agency.

4 · Offers start

Visits inside your radius arrive priced: base, mileage and boost. Accept the ones you want. Founding members get first pick.

Fair questions.

Is Rayva open in Madison County yet?

Not yet. Madison County opens when enough verified caregivers based here have joined. Signing up now puts you at the front of that line and costs nothing.

Which cluster does Madison County belong to?

The Grand Island cluster, about 95 miles from Madison. It opens on its own as local caregivers join, and shares boost-day offers with the cluster.

How far will I have to drive?

As far as you set your radius, and never unpaid. Every offer shows mileage from where you are before you accept, and the route builder chains nearby visits into one loop.

Which credentials can join?

CNAs, home health aides, LPNs and RNs. Each credential gets its own visit types and rates; see the credential pages linked above.

What about liability and insurance?

Every visit booked through Rayva carries professional liability coverage, included. Occupational accident coverage is available at group rates.

Nearby: Stanton · Platte · Pierce · Boone · All 93 counties · All of Nebraska

Be first in your county.

Join free. When Madison County opens, you get first pick of visits and founding member status.