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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 Non Clinical Specialist

Home Office, NY Req ID: R018852 Remote Clinical Services
**This position is RemoteDuties and 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...
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Behavioral Health Project Manager

New York, NY Req ID: R018414 Hybrid Clinical Services
Regulatory Compliance:Ensure adherence to regulatory initiatives and requirements, actively participating in relevant meetings as assigned.Documentation Management:Maintain Job Aides and Policies & Procedures, updating them in response to changes or new regulatory mandates, products, or...
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Care Manager - 100% Remote

Home Office, NY Req ID: R018426 Remote Clinical Services
Duties and Responsibilities:The care manager will be responsible for dual eligibility plan.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...
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Care Manager - Complex Care

Req ID: R018756 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...
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Care Manager - High Risk Maternity

Home Office, NY Req ID: R019083 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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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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Field, Assessment RN, $10,000, Sign-On Bonus, Bilingual Spanish/English, Bronx, NY

Field Office, NY Req ID: R017229 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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HIV/ AIDS Care Manager

Home Office, NY Req ID: R018746 Remote Clinical Services
The ‘Complex Care’ Care Manager takes a holistic (medical, behavioral, psychosocial) approach to planning and managing the care of members with chronic diseases like asthma, congestive heart failure and COPD. The Care Manager works with members, care givers and/or providers to ensure appropriate...
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