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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

Yanira visits members to evaluate what types of care and which services they’ll need to safely manage their health at home. She also teaches members and their families about disease management so that they can proactively maintain and improve their health. 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 Clinical Specialist

Lake Mary, FL Req ID: R016503 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...
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Assessment Nurse

New York, NY Req ID: R019905 Hybrid Clinical Services
Duties and Responsibilities: Conducts home assessments (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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Assessment Nurse

New York, NY Req ID: R018751 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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Assessment Nurse

New York, NY Req ID: R019966 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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Assessment Nurse-2

Field Office, NY Req ID: R019963 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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Care Manager

Home Office, NY Req ID: R019949 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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Care Manager

Home Office, NY Req ID: R019944 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 Director

Req ID: R019818 Remote Clinical Services
Duties/Responsibilities:Examines provider claims and service authorizations for completeness, accuracy, and medical necessity and proposes resolutions per internal and regulatory processes.Communicates to relevant teams and providers any claims/ authorization inaccuracies found along with...
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Director, Clincial

Home Office, CT Req ID: R018723 Hybrid Clinical Services
Designs, implements, and evaluates clinical initiatives and programs, in collaboration with key stakeholders, to improve access, clinical quality and medical cost management. Promotes a culture of shared learning and continuous quality improvementParticipates actively in strategic planning for BH...
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Field Assessment RN, Bronx, NY TEST

Field Office, NY Req ID: R019897 Hybrid Clinical Services
Duties and Responsibilities: Conducts home assessments (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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Field Care Coordinator

Hartford, CT Req ID: R019951 On-site 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 interpreting the employee-to-member and member-to-employee conversation.  Facilitates...
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Field Care Coordinator

Hartford, CT Req ID: R019982 On-site 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 interpreting the employee-to-member and member-to-employee conversation.  Facilitates...
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LG - Remote Assessment Nurse Test Req

New York, NY Req ID: R016400 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 needed,...
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LG - Remote Care Coordinator Test Req

Home Office, NY Req ID: R016414 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 intervention Contemporaneously and accurately...
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