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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...

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 Pharmacist, Pharmacy Benefits

Home Office, NY Req ID: R018481 Remote Clinical Services
Duties & Responsibilities:Works collaboratively to oversee clinical operations of assigned pharmacy benefitsProvides clinical pharmacy support for the pharmacy benefit —including but not limited to: override requests, external appeals, program design, program implementation/oversight, content...

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)...

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.•       ...

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...

Field, Assessment RN, $10,000, 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 Bilingual ARN

New York, NY Req ID: R018517 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...

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....

Manager of Assessment Nurses

New York, NY Req ID: R018382 Hybrid Clinical Services
Duties and Responsibilities: Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical consultations, and ensuring departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency.Coordinates and...

Manager, Pharmacy Benefit Operations - Hybrid

New York, NY Req ID: R018536 Hybrid Clinical Services
Duties & Responsibilities:Monitors all State & Federal regulations and program changes impacting pharmacy benefits and ensures timely implementation and/or compliance with regulations to meet or exceed audit standards.Responsible for new programs and initiatives assigned to meet...

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...

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...

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...

Remote Case Manager - Utilization Management

Home Office, NY Req ID: R018557 Remote Clinical Services
Duties/Responsibilities:Provides case management services for assigned member caseloads which includes:Pre-certification – performing risk-identification, preadmission, concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of treatments and service...
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