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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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Bilingual French/Creole Field Care Coordinator

Field Office, NY Req ID: R020431 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...

Bilingual Spanish Field Care Coordinator

Field Office, NY Req ID: R020432 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...

Care Manager

Home Office, NY Req ID: R019504 Remote Clinical Services
**This position is 100% RemoteDuties 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...

Care Manager, Bilingual Spanish - 100% Remote

Home Office, NY Req ID: R020325 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...

Care Manager, Mandarin Fluency - 100% Remote

Home Office, NY Req ID: R020338 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...

Care Manager, Remote

Home Office, NY Req ID: R020332 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...

Clinical Auditor: Appeals and Grievances

Home Office, NY Req ID: R020388 Remote Clinical Services
Duties and Responsibilities:Conduct quality audits of A&G items cases grievances, pre-service appeals, and post service appeals utilizing appropriate sources of information; including job aids, regulatory requirements, and case documentation including eligibility, claims, authorizations,...

Clinical Quality Manager

New York, NY Req ID: R019945 Hybrid Clinical Services
Duties & Responsibilities:Interacts with hospitals, providers, and members to improve quality of care, monitor progress, and recommend changesReviews billing codes, medical records, and claims submission processes to ensure accuracyAttends and facilitates any initiative meetings (studies,...
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