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Keeping New Yorkers Healthy

At Healthfirst, we offer comprehensive care services to our members in the community. We aim to keep our members safe, healthy, and provide attentive care. We have many opportunities available in different clinical specialties.

Caring for Our Members

Cyndi helps members open pathways to essential services and community entitlements for high-risk behavioral health children and their families. She collaborates with case managers to ensure that members are empowered and well-prepared to lead healthy lives and stay safe in their communities. Interested in joining our Nursing and Clinical Operations team? Check out our available positions listed below.

Open Positions in Nursing and Clinical

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A&G Weekend Inventory Manager

Home Office, NY Req ID: R018244 Remote Clinical Services
Duties & Responsibilities:Prepare and plan the weekend staff’s assignments and volume to ensure complianceTriage and assign expedited appeals while helping standardize and optimize how Appeals and Grievances are routedManage inventory to ensure regulatory compliance for appeals processed...

BH Field Care Manager - Hybrid (Westhampton Beach area)

New York, NY Req ID: R018210 On-site Clinical Services
Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of careReviews discharge planning, assessments, medical records, and screening for members currently admitted to assigned...

Bilingual Arabic Field Care Coordinator (Travel NYC Area)

Field Office, NY Req ID: R018180 Hybrid Clinical Services
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...

Bilingual Spanish Field Care Coordinator (Suffolk County)

Field Office, NY Req ID: R017694 Hybrid Clinical Services
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...

Bilingual Spanish Field Care Coordinator (Travel NYC Area)

Field Office, NY Req ID: R017628 Hybrid Clinical Services
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...

Bilingual Spanish Team Lead, Field Care Coordinator (Hybrid)

New York, NY Req ID: R018000 Hybrid Clinical Services
Supervises, evaluates, and coordinates daily team operations and responsibilities to ensure that departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency Allocates, monitors, and assigns resources while delegating and monitoring workloads Implements and...

Clinical Correspondence Writer/Editor-4

Home Office, NY Req ID: R018265 Remote Clinical Services
Duties and Responsibilities:Conduct daily reviews of member and provider correspondence while reviewing clinical system (TruCare) events to ensure compliance with all State and Federal regulations.Meet established time frames for completion of assigned correspondence.Identify deficiencies and...

Clinical Correspondence/Writer-1

Home Office, NY Req ID: R018266 Remote Clinical Services
Duties and Responsibilities:·       Conduct daily reviews of member and provider correspondence while reviewing clinical system (TruCare) events to ensure compliance with all State and Federal regulations.·       Meet established time frames for completion of assigned correspondence.·      ...

Clinical Pharmacist - Hybrid

New York, NY Req ID: R018335 Remote Clinical Services
Duties & Responsibilities:Support initiatives to resolve gaps in care through direct provider and member outreach, collaboration with provider engagement, and leveraging our pharmacy network capabilitiesEnsure that all recommendations are consistent with the latest guidelines or otherwise...

Clinical Quality Auditor

Home Office, NY Req ID: R018034 Remote Clinical Services
Duties and Responsibilities:Maintains tracking tools to log audit results including areas of non-compliance and informing what areas of improvement are needed for discussion with management and/or at departmental team meetingsAssists with evaluating and analyzing aggregate quality performance...

Field, Assessment RN, 5k Sign-On Bonus, Bronx, NY

Field Office, NY Req ID: R017466 Hybrid Clinical Services
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....

Hybrid, Assessment RN, 5k Sign-On Bonus, Bronx, NY

New York, NY Req ID: R017665 Hybrid Clinical Services
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....

Manager, Clinical Pharmacy Benefits

New York, NY Req ID: R018192 Hybrid Clinical Services
Duties & Responsibilities:Works collaboratively to design and manage the Healthfirst Pharmacy Benefits for all Healthfirst plans.  Collaborates with Finance and Actuary to analyze, interpret, and manage pharmacy cost trends for all Healthfirst plansProvides support and/or oversight for all...

Peer Support Specialist (Hybrid)

New York, NY Req ID: R018161 Hybrid Clinical Services
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...

Remote Care Manager - Pediatric Behavioral Health

Home Office, NY Req ID: R018173 Remote Clinical Services
Duties/Responsibilities:Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.Conducts assessments to identify barriers and opportunities for intervention.Develops care plans that align with the physician’s treatment plans and recommends...

Remote Care Manager, Long Term Care

Home Office, NY Req ID: R018122 Remote Clinical Services
Duties/Responsibilities:Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.Conducts assessments to identify barriers and opportunities for intervention.Develops care plans that align with the physician’s treatment plans and recommends...
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