Pierce · Grand Island cluster · about 120 mi

Home health visits in Pierce County, priced up front.

Rayva sends caregivers in and around Pierce 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

7,334

people in Pierce County (Census estimate, 2024)

12.8

people per square mile across 573 square miles

120 mi

from Pierce to Grand Island, the nearest Rayva cluster

72.5¢

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

Pierce County

What the numbers mean for a caregiver here.

With about 12.8 people per square mile, Pierce County is frontier by any definition. Nobody sets a 10 mile radius here. Rayva chains two or three far visits into one loop so the drive is paid once and the day still pays, and boosts apply whenever the county is short.

Pierce is about 120 miles from Grand Island, the nearest cluster today, which is too far to share caregivers day to day. Pierce 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 7,334.

The math, itemized

The drive is on the offer, not on you.

A visit near Pierce 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 Pierce $75

Base $46 · Mileage $13 · Boost +$16

Accept for $75 Pass

How a county opens

How Pierce 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 Pierce County yet?

Not yet. Pierce 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 Pierce County belong to?

The Grand Island cluster, about 120 miles from Pierce. 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: Antelope · Madison · Wayne · Knox · All 93 counties · All of Nebraska

Be first in your county.

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