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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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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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Hybrid Coding Educator

New York, NY Req ID: R019210 Hybrid Clinical Services
Trains clinical providers on coding guidelines, ensuring compliance around clinical documentation, coding guidelines. Using AMA Coding guidelines, CMS coding regulations, ICD10 coding rules and coding industry standards.Preparation and creation of PowerPoint presentations for department...
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Manager, Clinical Pharmacist UM

New York, NY Req ID: R019219 Hybrid Clinical Services
Job DescriptionDuties and Responsibilities: Responsible for developing clinical criteria, medical policies for provider administered medications, review of monthly reports for quality assurance, and staying current with literature, evidence-based medicine, and trends in medicine.Work with...
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Part-Time Assessment RN (UAS) Bronx, NY

Field Office, NY Req ID: R018423 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 critical...
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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...
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Remote Clinical Pharmacist

Home Office, NY Req ID: R018836 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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Remote Clinical UM Pharmacist

Home Office, NY Req ID: R018811 Remote Clinical Services
Duties & Responsibilities: Monitor and review prior authorization requests for medicationsCalculate appropriate billable units based on dosing, indication, weight, BMI and other clinical considerationsDevelop clinical criteria and medical policies for the review of medicationsEnsure all...
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Remote Manager Clinical A&G

Home Office, NY Req ID: R019019 Remote Clinical Services
Duties and Responsibilities:Manages a team of specialists, with responsibility for goal and productivity management, coaching and counseling, performance management and other leadership responsibilities as assignedProvides oversight in case research and provides advice as neededUnderstands HF’s...
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