Skip to content

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.

Where Compassion Meets Community

Assessment Nurses are pivotal to our work at Healthfirst, connecting members to the care that they need. See what a day in the life of our nurses really looks like in the communities we serve, why they love what they do, and what it means to be part of Healthfirst.

Open Positions in Nursing and Clinical

Filter jobs by

Filter jobs by

  • Job Title
  • State
  • Work Type
  • Department

Appeals Specialist

Home Office, NY Req ID: R020891 Remote Clinical Services
Key ResponsibilitiesResponsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member complaints, and member and provider appeals.  The end-to-end process requires the Specialist to independently:Research issuesReference and understand HF’s...
Apply Learn more >

Bilingual Field Care Coordinator 5 Boroughs

Field Office, NY Req ID: R020784 On-site 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...
Apply Learn more >

Bilingual Pediatric Care Manager

Home Office, NY Req ID: R020904 Remote Clinical Services
**This position is 100% RemoteDuties/Responsibilities:The Pediatric Care Manager plans and manages pediatric medical and/or behavioral care with members and their beneficiaries across the continuum of care. The Care Manager is assigned to a specific product line such as PHSP, Child Health Plus,...
Apply Learn more >

Care Manager, Bilingual Spanish/English - Remote

Home Office, NY Req ID: R020686 Remote Clinical Services
Duties and 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...
Apply Learn more >

Case Manager - UM II -100% Remote

Home Office, NY Req ID: R020897 Remote Clinical Services
The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health services...
Apply Learn more >

Director, HARP Care Management

New York, NY Req ID: R020672 Hybrid Clinical Services
Duties/Responsibilities: Lead, mentor, and support the HARP Care Management team, ensuring high clinical quality, member satisfaction, and employee engagementDrive innovation in integrated care models that align with NYS Medicaid requirements and Healthfirst’s quality and value-based care...
Apply Learn more >

Field Assessment RN, Queens, NY - $10,000 Sign-On Bonus (Mandarin or Cantonese Fluency)

Field Office, NY Req ID: R020764 Hybrid Clinical Services
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...
Apply Learn more >
1-20 of 27 results