Healthfirst

Field Care Coordinator - Mandarin & Cantonese Fluency (Travel NYC Area)

NY  |  Req ID: R019150  |  On-site

The schedule is Monday-Friday 9AM-5:30PM. This position requires travel to our members' homes in the various boroughs, Westchester and Long Island. You will only be scheduled for 1-2 zip codes in a concentrated area on the same day to make it more efficient. Full fluency in English, Mandarin and...

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Peer Support Specialist NYC (Hybrid)

NY  |  Req ID: R019831  |  Hybrid

Duties/Responsibilities:Manages designated caseload of members who could benefit from Peer Support services, care coordination, and health navigationSchedules and conducts multiple field-based visits per day (clustered by geographic areas)Completes assessments and questionnaires to identify...

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Bilingual Spanish Field Care Coordinator (Manhattan)

NY  |  Req ID: R020119  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Manager Assessment Nurse

NY  |  Req ID: R020271  |  Hybrid

Duties and Responsibilities: Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical consultations, and ensuring departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency.Coordinates and...

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Bilingual French/Creole Field Care Coordinator

NY  |  Req ID: R020431  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Bilingual Spanish Field Care Coordinator

NY  |  Req ID: R020432  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Bilingual Russian/Ukrainian Field Care Coordinator

NY  |  Req ID: R020433  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Bilingual Spanish Field Care Coordinator Orange County

NY  |  Req ID: R020434  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Field Service Agent - Queens (Bilingual Bengali, Urdu, Punjabi, Hindi)

NY  |  Req ID: R019372  |  On-site

Duties/Responsibilities:Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and productsManage face-to-face encounters by interacting with customers to provide...

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Field Service Agent - Bilingual English/Spanish - Long Island

NY  |  Req ID: R020305  |  On-site

Duties/Responsibilities:Interacts with customers in person to provide information in response to inquiries about products and services.Improve overall member experience and reduce waiting time in order to expedite traffic flowIdentify, research, and resolve customer issues using appropriate...

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Coordination of Benefits Specialist

FL  |  Req ID: R020435  |  Remote

Duties & Responsibilities: Identify members who have additional coverage and update company systemsInitiate outbound calls to members and/or other primary insurers to validate insurance coverage, update all Healthfirst and/or secondary systems (including potentially CMS and State systems...

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Part-Time Assessment RN (UAS) Bronx, NY

NY  |  Req ID: R018423  |  Hybrid

Duties and Responsibilities:  Conducts in-person (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical...

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Bilingual Spanish Field Care Coordinator (Brooklyn)

NY  |  Req ID: R020095  |  On-site

Duties/Responsibilities:Schedules and conducts multiple home visits per day (clustered in small geographic areas)Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating cross-cultural communications and interpreting the employee-to-member and...

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Hybrid Assessment RN, Brooklyn, NY - $7,500 Sign-On-Bonus (Mandarin & Cantonese Fluency)

NY  |  Req ID: R020094  |  Hybrid

Duties and Responsibilities: Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Hybrid Assessment RN, Bronx, NY - $7,500 Sign-On Bonus

NY  |  Req ID: R017665  |  Hybrid

Duties and Responsibilities:RN Conducts assessments for prospective members and re-assessments of current members as well as identify enrollment and or eligibility by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home e.g....

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Field Assessment RN, Bronx, NY - $10,000 Sign-on Bonus

NY  |  Req ID: R019177  |  Hybrid

Duties and Responsibilities: Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and...

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Director, Organizational Design and Strategic Workforce Planning

NY  |  Req ID: R017823  |  Hybrid

Duties and ResponsibilitiesPrimary designer and lead on a variety of enterprise OD and OE initiatives focused on, but not limited to, Organizational Design and Strategic Workforce Planning.Develop the enterprise approach, frameworks, and tools to implement organizational design and strategic...

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Associate General Counsel

NY  |  Req ID: R020173  |  Hybrid

Scope of Responsibilities:Maintains familiarity with all requirements of law and regulation affecting the operation of a managed care company in New York, with particular focus on provider contracting and risk transaction regulatory frameworks.Provides legal support to provider relations and...

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UM Case Manager

NY  |  Req ID: R020374  |  Remote

**This position is 100% RemoteDuties/Responsibilities:Provides case management services for assigned member caseloads which includes:Pre-certification – performing risk-identification, preadmission, concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of...

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Pediatric Care Coordinator - Bilingual Spanish or Mandarin-Cantonese Fluency

NY  |  Req ID: R020349  |  Remote

**This position is 100% RemoteDuties and Responsibilities: Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical...

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