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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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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...
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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.·      ...
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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...
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Clinical Quality Manager

New York, NY Req ID: R018431 Hybrid Clinical Services
 Job DescriptionInteracts 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, partnerships)...
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Clinical Support - Care Coordinator - 100% Remote

Home Office, NY Req ID: R018504 Remote Clinical Services
Duties 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 interventionContemporaneously and accurately documents...
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Clinical Support Team Social Worker

Home Office, NY Req ID: R018351 Remote Clinical Services
Duties and Responsibilities:•        Completes assessment for each member related to their receipt of community based long-term care services.•        Develops a comprehensive care plan for each member based on assessments, counseling, environment, social support and financial status.•       ...
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Field Care Coordinator

Field Office, NY Req ID: R017964 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...
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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....
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Hybrid, Assessment RN, $7,500 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....
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Mgr Care Mgmt - Disenrollment Team

Home Office, NY Req ID: R018379 Remote Clinical Services
Duties/Responsibilities:·       Develops and monitors team goals; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; routinely evaluates staff’s clinical skills and technical comprehension; and ensures an atmosphere of open communication, teamwork, and...
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Part Time Assessment RN, Bronx, NY

Field Office, NY Req ID: R018029 Hybrid Clinical Services
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...
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Per Diem, Assessment RN, Bronx, NY

Field Office, NY Req ID: R018401 Hybrid Clinical Services
Duties and Responsibilities: ·        Conducts home assessments 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 thinking skills.  As...
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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...
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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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Remote HARP LTSS Care Manager (Behavioral Health)

Home Office, NY Req ID: R017877 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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Remote Pediatric Care Manager

Home Office, NY Req ID: R017897 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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Remote RN Care Manager - Diabetes

Home Office, NY Req ID: R018119 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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