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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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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...

Remote Weekend Case Manager - Utilization Mgt.

Home Office, NY Req ID: R018657 Remote Clinical Services
The schedule options for this role is Friday-Monday 10 hour shift OR5 days 8 hour shift Thursday to Monday or Friday to TuesdayDuties/Responsibilities:Provides case management services for assigned member caseloads which includes:Pre-certification – performing risk-identification, preadmission,...

RN/SW Care Manager - 100% Remote

Home Office, NY Req ID: R017354 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...

Senior Manager, Medical Operations

New York, NY Req ID: R018550 Hybrid Clinical Services
Duties & Responsibilities:Supports in translating strategy into short, medium and long-term plans.Works collaboratively in preparing reports, presentations and/or papers to present to internal and external leaders as required.Aligns work activities and coordinates schedules, projects, and...

Support Operations Team Leader

New York, NY Req ID: R018364 Remote Clinical Services
Duties & Responsibilities:  Supervises, evaluates, and coordinates daily team operations and responsibilities to ensure that departmental productivity goals are met in regards to quality, timeliness, accuracy, and consistency.Allocates, monitors, and assigns resources while delegating and...

Support Specialist

Home Office, NY Req ID: R018358 Remote Clinical Services
Duties and Responsibilities: Conduct outreaches for newly enrolled members to review current and approved services, durable medical equipment (DME) and additional requestsReview intake documents for pre-approved services and escalate discrepancies as neededComplete Welcome Onboarding and Consumer...

UM II Support Coordinator - 100% Remote

Home Office, NY Req ID: R018619 Remote Clinical Services
Duties and Responsibilities: Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk factors which need closer...

Weekend A&G Clinical Coordinator - 100% Remote

Home Office, NY Req ID: R018221 Remote Clinical Services
Prepare cases for the clinical team by gathering documentation, loading evidence, and making calls to members and providers.Perform administrative activities including but not limited to generating and printing determination and authorization notification letters.Complete all associated data...

Weekend A&G Clinical Specialist - 100% Remote

Home Office, NY Req ID: R018252 Remote Clinical Services
Duties and Responsibilities:Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of services. The end to end process requires the Specialist...
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