UCare jobs in New York, NY

The Manager, Claims Modernization Reporting and Analytics is responsible for the successful implementation of strategic initiatives as a part of a large team of Business, Data and Project Analysts. This individual will be responsible for partnering with their team in support of process improvement initiatives, development of a reporting and analytics program, as well as in-area and corporate projects. This position will have responsibility for collaborating with executives and stakeholders on defining and developing consumable reporting for use in driving insightful business decisions. This individual will take initiative in improving our overall data quality, testing methodology, creating reporting and visualization that meets the needs of our stakeholders. This position will manage competing objectives and prioritizes accordingly. The Manager will take lead on projects aimed at improving performance and efficiency by leveraging their skills to accomplish tasks and achieve departmental and corporate strategic goals. Job Description * This is a hybrid role and you are expected to report o a HF work location on a regular basis. When you are working remotely, you are expected to have: a secure workplace that is compliant with HIPAA as well as corporate privacy rules; broadband internet service from a reputable provider that supports the applications and functions of your role; be available and reachable by your management team and colleagues at all times during your regularly scheduled hours and adhere to all corporate policies and guidelines. * Your on-site hybrid location is the NY Office at 100 Church Street on Tuesdays, Wednesdays and Thursdays. * Deliver data-driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. * Define and implement metrics, quality benchmarks and related analysis on performance and service levels to inform strategic and tactical business decision-making. * Analyze and interpret complex data sets to determine root cause(s) to business performance issues * Recommend business controls to improve business results * Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensure long-term strategic and short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and accomplished. * Manage progress and deliverables on all initiatives, consistently seeking more efficient ways to support the business using technology, cross-training, and other tools to ensure their own optimal performance as well as performance of the Business/Project Analyst team. * Regularly meet with supervisor, peers, and stakeholders to drive high performance results. * Collaborate across impacted stakeholders to translate business needs into technology solutions, implement reporting tools that maximize efficiency, and foster a high-performance culture. * Gather business requirements, develop business rules, and implement process controls and reporting. * Prioritize, and monitor workload to ensure continuous progress in being made. * Remain current on reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. * Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to assist with managing our business. * Articulate conclusions and opinions in a persuasive and influential manner, with well-developed data-driven analyses or solutions that establish trust. * Partner on development and implementation of a strategic multiyear project and resources plan and participate in setting and executing operational plans consistent with organizational strategy. * Support a variety of ad-hoc report requests. * Attend and conduct team/project meetings as needed * Additional projects and duties as assigned. Minimum Qualifications: * Experience exhibiting strong critical thinking, problem solving, and analytical skills. * Experience within any area of operations (Member Services, Enrollment & Billing, Claims, Provider Services, etc.). * Experience with database reporting and automation, budgeting or internal audit processes. * Experience monitoring quality in a reporting and analysis environment. * Experience conducting root-cause analysis and making recommendations based on your findings. * Experience with Tableau, Alteryx, or similar data visualization and data wrangling tools. * Familiarity with relational database structures, theories, principles, and practices. * Familiarity with data models and/or data modelling. * Experience with Microsoft Excel including the use of formulas, Pivot tables, and graphs to manipulate and analyze data. * Bachelor's degree from an accredited institution or equivalent work experience. Preferred Qualifications: * Experience working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term care or government programs). * Familiarity with healthcare data. * Experience working with MS Office Suite, including MS Access (reporting), MS PowerPoint (creating/editing presentations), and MS Visio (creating flow charts) and Adobe Acrobat (converting PDF files). * Ability to gather requirements, design, test and implement using agile methodologies. * Advanced communication skills with the ability to present to a varied audience, including Senior Management. * Problem solving skills; ability to think strategically and critically in developing solutions to complex problems. * Strong quantitative and analytical skills. Compliance & Regulatory Responsibilities: N/A License/Certification: N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430 * All Other Locations (within approved locations): $88,700 - $131,920 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

As a valuable member of the Healthfirst Care Management team, the Field Care Coordinator (FCC) is responsible for conducting local home visits for Healthfirst members. During these care management visits, the FCC may perform a home environment assessment, administer health questionnaires, retrieve necessary documentation, and/or facilitate a video visit with a Healthfirst Care Manager or Clinical Eligibility Nurse to conduct other required assessments. When needed, the FCC also supports Healthfirst clinical teams by providing translation 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 member-to-employee conversation * Responds to and, when needed, escalates member questions, as directed * Properly documents findings in Healthfirst information systems * Collaborates with other members of the clinical team (Care Managers, Care Coordinators, Clinical Eligibility Nurses, Medical Directors, etc.) to ensure member needs are prioritized and addressed * Collects documents from members, including health care proxy agreements and other important member documents, and ensures they are routed to the appropriate recipient * Additional duties as assigned Minimum Qualifications: * High school diploma or GED * Bilingual in English and one or more language(s) * Experience using health information systems to document or retrieve information * Proficient computer skills experience, including a solid understanding of Microsoft Outlook, Word and Excel * Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Orange County, and Westchester Preferred Qualifications: * English proficient bilingual who also speaks Mandarin, Cantonese Fujianese highly preferred * In alignment with our hyper local mission, it is highly preferred that the incumbent resides within a commutable distance to their assigned field location * Ability to commute by car/vehicle * Prior experience in a field-based health care role (home visits a plus) * Work experience as an Interpreter/Translator or in a bilingual customer service role in the field and/or in a call-center * Experience with geriatric or other frail populations, including their caregivers, or in a health care office * Familiar with areas of NYC, Long Island, and/or lower Westchester * A valid NYS driver's license or ID WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $48,600 - $65,960 * All Other Locations (within approved locations): $42,200 - $62,400 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

The Finance Operations Analyst is responsible for handling all finance operations functions which include issuing & researching payments for claims, capitation, vendor refunds, and analysis. This is a Hybrid-NY role, located at 100 Church Street, requiring three days per week in the office (Tues/Wed/Thurs). Scope of Responsibilities: * Create service forms for returned checks and vendor refunds in PEGA. * Process Medical Home, Member Refund, FQHC, and other ad-hoc transactions in Workday. * Responsible for voiding and reissuing checks upon request, abandoned property issues, provider refunds and returned checks. * Perform stop payment requests to be handled by the Treasury department to send to the bank. * Data entry of check information for returned checks and vendor refunds as received. * Oversee and create monthly reporting on issued payments and ensure that payment detail files are generated & available for payees. * Perform reconciliation and analysis of all (claims, capitation, vendor payments, and etc) payments. * Creation of monthly reports of data related to payments for all lines of business. * Special projects as determined by management. Minimum Qualifications: * High School Diploma or GED from an accredited institution. * Experience with accounting functions within a health insurance payer platform. * Ability to analyze financial information & reports. * Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel required. Preferred Qualifications: * Associate's degree from an accredited institution. * Experience with SAS or SQL reporting (i.e. running queries). * Experience with Workday. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $58,900 - $80,070 * All Other Locations (within approved locations): $51,000 - $74,880 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Recognized by Forbes as a Dream Employer of 2025, Healthfirst is committed to fostering a culture of innovation, creativity and belonging. As a UAS Nurse Assessor, you will help ensure our members receive the care and services they need to lead healthier, more independent lives. This role is perfect for RNs who are passionate about making a positive impact in the lives of patients/families and appreciates a job with flexibility and manageable caseloads. Whether you're an experienced nurse or a new graduate eager to start your career, you'll have the opportunity to grow in a supportive environment. Enjoy the benefit of working in the field while conducting in-person assessments throughout Queens-close to great public transportation, shopping centers, and some of NYC's most vibrant neighborhoods. What we offer: Flexible work schedule (4x10s or M-F ) No weekends, holidays or night shifts Full benefits; Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more! Immersive 4-to-6-week training program to support you and set you up for success Professional growth & development opportunities 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission Conducts in-person Care Management visits in support of person-centered service planning Liaisons between the member and the CMT; assesses home environment and psychosocial status Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan Additional duties as assigned Minimum Qualifications: New York State RN license Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing Work experience using electronic patient health information (PHI) database usage especially UAS NY state driver's license Knowledge of health insurance, Medicaid, Medicare and MLTCP Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement Time management, critical/creative thinking, communication, and problem-solving skills Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese Demonstrated ability handling heavy caseloads Intermediate Microsoft Word, Excel, and Outlook skills WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $100,000 - $120,000 All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

The Manager, Vendor Performance is responsible for the direct and/or indirect management of all Healthfirst onshore and offshore delegated vendors. The team led by this manager is responsible for the successful onboarding, relationship management, and monitoring of delegated vendor performance by assuring adherence with Key Performance Indicators (KPIs), Service Level Agreements (SLAs), vendor compliance, and regulatory requirements. Work Schedule This position requires three days per week in office (Tues/Wed/Thurs) at either: 100 Church Street, NYC or 1101 Greenwood, FL. Duties & Responsibilities: * Ensure successful onboarding and offboarding of Healthfirst delegated vendors * Continuously review and update vendor performance goals and expectations * Monitor and manages delivery of vendor services through periodic review meetings * Leverage delegated vendor scorecards with key stakeholders to objectively review vendor performance & address key concerns * Oversee day-to-day vendor relationship and performance tracking; Ensure all vendor performance issues are resolved * Ensure vendor performance variance and failed KPIs are documented and corrective action plans are implemented * Assess and address risk and growth areas through the strategic management of vendor relationships * Ensure timely completion and appropriate follow up on vendor desk audits * Communicate delegated vendor results and collaborate with various departments to identify delegated vendor improvements * Prepare and conduct daily/weekly/monthly presentations to Senior Management on delegated vendor performance and results * Engage in regular communication with delegated vendor performance support team to ensure production support activities being supported are in line with service level agreements and business needs * Develop an effective team through hiring, training, coaching, and providing ongoing and constructive feedback * Conduct regular department/unit/office meetings to inform staff of performance, results and new changes or issues impacting the department and/or company * Demonstrate and maintain in-depth knowledge of the business success drivers, healthcare industry trends, and the competitive marketplace to provide measures and metrics to move the Healthfirst delegated vendor partner management department to a 'Best-In-Class' operation. * Additional duties as assigned Minimum Qualifications: * Bachelor's degree from an accredited institution or equivalent work experience * Delegated vendor management oversight work experience * Experience communicating and influencing impact and progress to senior leadership * Domestic and international travel may be required Preferred Qualifications: * Expertise in healthcare operations * Management experience in an operational department within the healthcare industry * Experience developing strategy and processes for a department or function Compliance & Regulatory Responsibilities: Noted above License/Certification: N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430 * All Other Locations (within approved locations): $88,700 - $131,920 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

This position will provide personal financial services at assigned military installations. Primary responsibilities include the full breadth of personal financial counseling services to military service members and their families at military installations. Services include education and counseling addressing financial services that may include, but are not limited to, one-on-one counseling, consultation with a commander or with another provider or staff, conducting briefings and presentations, or providing referral resources to a participant outside the context of a counseling session. Works closely with the installation and military branch Points of Contact (POC) to assure that the program is providing within scope and meets the needs of the installation. * Provides personal financial counseling and management services directly to service members and their families. * Assists service members in establishing a spending plan for extended absences. * Develops and makes available informational financial materials to service members and families. * Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including, but not limited to, arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34. * Responds to requests for age-appropriate classes or seminars. * Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer. Virtual PFC support may only be authorized by OSD FINRED Program office. * Manages duty to warn situations according to Department of Defense (DoD) protocol. * Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned. * Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate. * All other duties as assigned. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities Bachelor's degree required. May consider applicants with an associate degree plus 4 years' experience in lieu of bachelor's degree. May consider applicants with a high school diploma plus 6 years' experience in lieu of a bachelor's degree. 3+ years of financial counseling experience. Must be a U.S. citizen and speak fluent English. If required by the contract, must be bilingual in English and Spanish. Be able to obtain a favorably adjudicated Tier 2 investigation. Must be able to pass the Congressionally Mandated Disclosures for Organizational Conflicts of Interest (OCI) process. Must have one of the following certifications: Accredited Financial Counselor (AFC), Certified Financial Planner (CFP), or Chartered Financial Consultant (ChFC). General Job Information Title Personal Financial Counselor - Army National Guard, Brooklyn, NY Grade 23 Work Experience - Required Financial Counseling Work Experience - Preferred Education - Required A Combination of Education and Work Experience May Be Considered., Bachelor's Education - Preferred License and Certifications - Required AFC - Accredited Financial Counselor - EnterpriseEnterprise, CFP - Certified Financial Planner - EnterpriseEnterprise, ChFC - Chartered Financial Consultant - EnterpriseEnterprise, DL - Driver License, Valid In State - OtherOther License and Certifications - Preferred Salary Range Salary Minimum: $53,125 Salary Maximum: $84,995 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

The Integrated Products Project Liaison provides administrative support to the Integrated Products (IP) Sales group's growth initiatives for long-term care products. This includes, but is not limited to, coordinating the continuity of the IP pre-enrollment process and ensuring the processing of quality customer service for referral sources, prospective new enrollees and internal partners. Project Liaison is expected to contribute creative solutions and take ownership of daily assignments to ensure seamless communication and systematic completion of routine and special projects. They are expected to facilitate meetings and conference calls with project participants acting in a consultative capacity. This is a paperless work environment requiring daily hands-on administration of multiple proprietary and packaged electronic databases including security requirement tools such as encryption. These systems include, but are not limited to, Salesforce, Tableau, Macess Service Module, MS Office software (Word, Excel, PowerPoint, Excel, Outlook, etc.), and Adobe Acrobat. The Project Liaison maintains control of the division's workflow as directed by the District Managers, Senior Managers of MLTC/MAP Growth, and Director of Growth and Account Network Operations (MLTC/MAP) while working independently to ambitiously handle multiple tasks with a fast-paced, proactive vs. a reactive approach to changing priorities. The Project Liaison must have the ability to manage projects across multiple units within the organization with the respective Integrated Products Sales Manager or Director as the key stakeholder. Key duties within the role include: * Provides administrative support to Long Term Care Sales department by acting as liaison among LTC Sales, PHSP Sales, Medicare Sales, Intake, Ancillary, Fleet, Community Engagement and Clinical Teams as necessary. * Works collaboratively with Finance/IS/IT in obtaining and summarizing growth, membership and staffing reports * Assists in staff onboarding through ordering of all equipment and scheduling any necessary training * Monitors annual premiums budget, as well as in-house/warehouse inventory of marketing supplies/premiums. * Prepare marketing packages, including the ordering and stocking of product specific marketing materials for the full Integrated Products Sales Team. * Assists with data entry of Marketing/Provider Contacts into a designated database (Salesforce) as needed. * Handle incoming telephone calls from field marketing staff and leadership in a prompt, courteous and appropriate manner. * Pulls and updates provider specific referral reports for Sales Leaders and marketing staff, with validated information, in a timely manner. * Identifies opportunities to streamline reporting for the Sales Leaders * Reviews and summarizes performance dashboards for the IP Sales Team * Schedules and maintains various meeting calendars. * Takes all team meeting specific minutes and follow-up items. * Develops and maintains all provider specific quarterly presentation decks. * Develops field presence heat maps and identifies opportunities for growth through on-site marketing efforts * Tracks and distributes team commission/bonus statements * Acts as the primary point of contact within Integrated Sales, for any Community Engagement Events/Sponsorships * Monitors and requests maintenance for full team equipment such as laptops, phones, VPN devices, etc. * Other duties as assigned. * Must be willing to work overtime if needed. Minimum Qualifications: * High School diploma/GED or equivalent experience * Strong planning, organizing, and execution skills - experience managing a range of concurrent large scope projects * Ability to craft communications, set meetings and organize schedules in Microsoft Outlook * Ability to communicate effectively verbally and in writing * Ability to establish and maintain relationships with key stakeholders * Advanced level Excel capabilities including Data Sorting, Data Filters, Pivot Tables and V Lookups * Be able to work in a fast-paced environment Preferred Qualifications: * Bachelor's degree * 1-3 years of long-term care experience * Change leadership skills coupled with exceptional relationship building and influencing ability * Problem solving skills; ability to think strategically and critically in developing solutions to complex problems * Creativity and flexibility in addressing future challenges in alignment with Healthfirst's long-term growth and profitability goals WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $48,600 - $65,960 * All Other Locations (within approved locations): $42,200 - $62,400 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members' enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst's long term care plans such as CompleteCare and Senior Health Partners. 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission Conducts in-person Care Management visits in support of person-centered service planning Liaisons between the member and the CMT; assesses home environment and psychosocial status Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan Additional duties as assigned Minimum Qualifications: New York State RN license Valid New York State ID Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing Work experience using electronic patient health information (PHI) database usage especially UAS NY state driver's license Knowledge of health insurance, Medicaid, Medicare and MLTCP Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement Time management, critical/creative thinking, communication, and problem-solving skills Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese Demonstrated ability handling heavy caseloads Intermediate Microsoft Word, Excel, and Outlook skills WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services. EEO Law Poster and Supplement All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470 All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

*Great opportunity for any RN, nursing background - recent nursing grads and experienced nurses are all welcome to apply! This is a field based role. You will work in the field either a 4 day or 5 day work schedule. - * 5k Sign-On Bonus Competitive salary & annual bonus * Field either 4 days10 hours or 5 days 8 hours work schedule. * No weekends/holidays/night shifts * 24 days of PTO, 29 days after 1 year of employment * Comprehensive benefit plan options * Extensive 4-6 week training program * Community based nursing * Dedicated, supportive & tenured team If you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people's lives, then Healthfirst is for you. As an Assessment RN you will visit members in their homes at intervals required by the Department of Health (DOH) and complete appropriate documentation to determine members' enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst's long term care plans such as CompleteCare, FIDA, and Senior Health Partners. 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. skilled nursing facilities. * RN conducts In-person Care Management visits in support of person-centered service planning. * RN Completes assessment of members needs due to changing conditions. * Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home placement eligibility. * Coordination with home care agencies, vendors, pharmacies, medical providers and CMT regarding needs identified. * Provides commnity based education for our frail population including self care and preventative care. * Additional duties as assigned,including care management tasks as needed. Minimum Qualifications: * New York State RN license. * Ability to travel in and around Bronx, New York. * Unexpired NY state driver's license or NYS ID Preferred Qualifications: * Geriatrics * Home Care * Discharge Planning * Case Management * Medical Surgical Nursing * Electronic patient health information (PHI) database experience * Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement * Time management, critical/creative thinking, communication, and problem-solving skills * Field experience assessing, planning, and evaluating member's/patient's care * Demonstrated ability handling heavy caseloads * Intermediate Microsoft Word, Excel and Outlook skills. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services. EEO Law Poster and Supplement All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470 * All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Reporting to the Director, Delegated Vendors, the Manager, Ancillary Delegated Vendors will lead the oversight responsibilities of their vendor delegated functions. This position will serve as a liaison between the vendor and Healthfirst. They will support the vendor management processes and programs at Healthfirst to ensure that contractual and regulatory requirements are met. Job Description * Oversee and monitor delegated vendor and internal business owner relationships to ensure compliance, optimal delegate performance and achievement of business goals according to Service Level Standards and other contractual requirements. * Resolving all issues related to ancillary delegated relationships. * Serve as Liaison between vendors and cross-functional internal departments and teams to ensure timely and quality deliverables from vendors and internal departments such as Network, Claims, IT/IS, Medical Management, Credentialing and other areas as needed. * Acts as a liaison between other departments and delegates related to CMS/NYSDOH audits, member complaints, etc. Collaborates with other departments within Healthfirst to improve all aspects of a delegated functions including member satisfaction * Responsible for contract negotiations and renewals * Track and trend Performance Guarantee and key performance indicator related to contractual penalties or incentives * Provide Director with performance data on vendors based on contractual requirements and Service Level Standards on a monthly/quarterly basis. * Maintain effective working relationships with delegated vendors and internal business stakeholders to ensure performance metrics are met, identify opportunities for improvement, mitigate risk and eliminate barriers to correct Corrective Action Plans (CAPs). * Participate in Vendor Oversight Committee, Joint Operating Committees and other ad hoc meetings/activities as directed. * Analyze, track and follow-up on the timely resolution of errors and issues that are a result of vendor processes; and as necessary escalate unresolved inquiries/complaints to Manager. * Maintain and update an Issue Tracking Log for delegated vendors * Perform review of SDOH, CMS and other internal/external audit templates to validate data * Serve as a project coordinator to lead projects/vendor configurations as assigned, develop project plans, support workgroup and monitor vendor and internal deliverables * Assist and lead implementation strategies to improve delegated vendor engagement strategies for HEDIS and STARS Quality Initiatives. * Participate in Request for Proposal (RFP) process from initiation, contracting and onboarding for potential new delegates * Analyze, update, and modify procedures and processes to continually improve operations. * Monitor and report instances of vendor Corrective Action Plans (CAPs) implement CAPs as necessary. * Perform IT User acceptance testing (UAT) assessments related to enrollment files, claims reporting, encounter data files, accumulator files and as needed reviews for IT changes which impact the delegate * Monitor electronic feeds and User acceptance testing (UAT) to ensure receipt/transmit data files to delegates * Identify opportunities for process improvement and efficiencies to reevaluate processes and workflows * Perform any other duties as may be assigned. Minimum Qualifications: * Bachelor's degree from an accredited institution or equivalent work experience * Delegated vendor management oversight work experience * Experience communicating and influencing impact and progress to senior leadership * Domestic and international travel may be required Preferred Qualifications: * Expertise in healthcare operations * Management experience in an operational department within the healthcare industry * Experience developing strategy and processes for a department or function Compliance & Regulatory Responsibilities: Noted above License/Certification: N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430 * All Other Locations (within approved locations): $88,700 - $131,920 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

The Assessment Nurse makes field assessment visits for members or prospective members around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members' enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst's long term care plans such as CompleteCare and Senior Health Partners. 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually * Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments * Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission * Conducts in-person Care Management visits in support of person-centered service planning * Liaisons between the member and the CMT; assesses home environment and psychosocial status * Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance * Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies * Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan * Additional duties as assigned Minimum Qualifications: * New York State RN license * Valid New York State ID * Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. * For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: * Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits * Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing * Work experience using electronic patient health information (PHI) database usage especially UAS * NY state driver's license * Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement * Time management, critical/creative thinking, communication, and problem-solving skills * Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese * Demonstrated ability handling heavy caseloads * Intermediate Microsoft Word, Excel, and Outlook skills WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services. EEO Law Poster and Supplement All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470 * All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Recognized by Forbes as a Dream Employer of 2025, Healthfirst is committed to fostering a culture of innovation, creativity and belonging. As a UAS Nurse Assessor, you will help ensure our members receive the care and services they need to lead healthier, more independent lives. This role is perfect for RNs who are passionate about making a positive impact in the lives of patients/families and appreciates a job with flexibility and manageable caseloads. Whether you're an experienced nurse or a new graduate eager to start your career, you'll have the opportunity to grow in a supportive environment. Enjoy the benefit of working in the field conducting in-person assessments throughout Queens-close to great public transportation, shopping centers, and some of NYC's most vibrant neighborhoods. 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually * Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently * Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments * Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission * Conducts in-person Care Management visits in support of person-centered service planning * Liaisons between the member and the CMT; assesses home environment and psychosocial status * Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance * Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies * Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan * Additional duties as assigned Minimum Qualifications: * New York State RN license * Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. * Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities * Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills * Prior work experience requiring time management, critical/creative thinking, communication, and problem-solving skills * For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: * Work experience using electronic patient health information (PHI) database usage especially UAS * Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits * Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing * Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement * Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese * Demonstrated ability handling heavy caseloads * NY state driver's license WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $100,000 - $120,000 * All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Recognized by Forbes as a Dream Employer of 2025, Healthfirst is committed to fostering a culture of innovation, creativity and belonging. As a UAS Nurse Assessor, you will help ensure our members receive the care and services they need to lead healthier, more independent lives. This role is perfect for RNs who are passionate about making a positive impact in the lives of patients/families and appreciates a job with flexibility and manageable caseloads. Whether you're an experienced nurse or a new graduate eager to start your career, you'll have the opportunity to grow in a supportive environment. Enjoy the benefit of working in the field while conducting in-person assessments throughout Brooklyn-close to great public transportation, shopping centers, and some of NYC's most vibrant neighborhoods. What we offer: * Flexible work schedule (4x10s or M-F) * No weekends, holidays or night shifts * Full benefits; Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more! * Immersive 4-to-6-week training program to support you and set you up for success * Professional growth & development opportunities 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually * Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments * Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission * Conducts in-person Care Management visits in support of person-centered service planning * Liaisons between the member and the CMT; assesses home environment and psychosocial status * Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance * Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies * Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan * Additional duties as assigned Minimum Qualifications: * New York State RN license * Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. * For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: * Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits * Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing * Work experience using electronic patient health information (PHI) database usage especially UAS * NY state driver's license * Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement * Time management, critical/creative thinking, communication, and problem-solving skills * Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese * Demonstrated ability handling heavy caseloads * Intermediate Microsoft Word, Excel, and Outlook skills WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $100,000 - $120,000 * All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

**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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually** **Navigates multiple technology//digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently** **Completes assessment of service needs per CMT and member's family//caregivers request to determine service needsor any necessary adjustments** **Reviews previous nursing assessments//medical notes to determine necessary adjustments//updates in Care Plan and//or to assist with nursing home admission** **Conducts in-person Care Management visits in support of person-centered service planning** **Liaisons between the member and the CMT; assesses home environment and psychosocial status** **Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance** **Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies** **Ensures (prospective) members and significant others//responsible parties understand and are in agreement with enrollment in a managed long-term care plan** **Additional duties as assigned** **Minimum Qualifications:** **New York State RN license** **Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester.** **Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities** **Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills** **Prior work experience requiring time management, critical//creative thinking, communication, and problem-solving skills** **For PEDS positions only: 1 year of pediatric clinical field experience and//or experience with families and child serving systems, including child welfare and//or medically fragile//developmentally disabled populations** **Preferred Qualifications:** **Work experience using electronic patient health information (PHI) database usage especially UAS** **Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake//reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits** **Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and//or medical surgical nursing** **Knowledge of health insurance, Medicaid, Medicare and MLTCP** **Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement** **Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese** **Demonstrated ability handling heavy caseloads** **NY state drivers license** WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

**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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually** **Navigates multiple technology//digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently** **Completes assessment of service needs per CMT and member's family//caregivers request to determine service needsor any necessary adjustments** **Reviews previous nursing assessments//medical notes to determine necessary adjustments//updates in Care Plan and//or to assist with nursing home admission** **Conducts in-person Care Management visits in support of person-centered service planning** **Liaisons between the member and the CMT; assesses home environment and psychosocial status** **Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance** **Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies** **Ensures (prospective) members and significant others//responsible parties understand and are in agreement with enrollment in a managed long-term care plan** **Additional duties as assigned** **Minimum Qualifications:** **New York State RN license** **Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester.** **Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities** **Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills** **Prior work experience requiring time management, critical//creative thinking, communication, and problem-solving skills** **For PEDS positions only: 1 year of pediatric clinical field experience and//or experience with families and child serving systems, including child welfare and//or medically fragile//developmentally disabled populations** **Preferred Qualifications:** **Work experience using electronic patient health information (PHI) database usage especially UAS** **Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake//reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits** **Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and//or medical surgical nursing** **Knowledge of health insurance, Medicaid, Medicare and MLTCP** **Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement** **Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese** **Demonstrated ability handling heavy caseloads** **NY state drivers license** WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

**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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually** **Navigates multiple technology//digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently** **Completes assessment of service needs per CMT and member's family//caregivers request to determine service needsor any necessary adjustments** **Reviews previous nursing assessments//medical notes to determine necessary adjustments//updates in Care Plan and//or to assist with nursing home admission** **Conducts in-person Care Management visits in support of person-centered service planning** **Liaisons between the member and the CMT; assesses home environment and psychosocial status** **Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance** **Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies** **Ensures (prospective) members and significant others//responsible parties understand and are in agreement with enrollment in a managed long-term care plan** **Additional duties as assigned** **Minimum Qualifications:** **New York State RN license** **Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester.** **Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities** **Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills** **Prior work experience requiring time management, critical//creative thinking, communication, and problem-solving skills** **For PEDS positions only: 1 year of pediatric clinical field experience and//or experience with families and child serving systems, including child welfare and//or medically fragile//developmentally disabled populations** **Preferred Qualifications:** **Work experience using electronic patient health information (PHI) database usage especially UAS** **Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake//reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits** **Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and//or medical surgical nursing** **Knowledge of health insurance, Medicaid, Medicare and MLTCP** **Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement** **Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese** **Demonstrated ability handling heavy caseloads** **NY state drivers license** WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

*Great opportunity for any RN, nursing background - recent nursing grads and experienced nurses are all welcome to apply! This is a field based role. You will work in the field either a 4 day or 5 day work schedule. - •$10,000, Sign-On Bonus, Competitive salary & annual bonus • Field either 4 days10 hours or 5 days 8 hours work schedule. • No weekends/holidays/night shifts • 24 days of PTO, 29 days after 1 year of employment • Comprehensive benefit plan options • Extensive 4-6 week training program • Community based nursing • Dedicated, supportive & tenured team If you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people's lives, then Healthfirst is for you. As an Assessment RN you will visit members in their homes at intervals required by the Department of Health (DOH) and complete appropriate documentation to determine members' enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst's long term care plans such as CompleteCare, FIDA, and Senior Health Partners. The Assessment RN makes field assessments in and around Bronx, New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members' enrollment, service needs, and continued plan eligibility. This position coordinates with Care Management Team (CMT) to maintain efficient and effective operations of Healthfirst's long term care plans. 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. skilled nursing facilities. RN conducts In-person Care Management visits in support of person-centered service planning. RN Completes assessment of members needs due to changing conditions. Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home placement eligibility. Coordination with home care agencies, vendors, pharmacies, medical providers and CMT regarding needs identified. Provides commnity based education for our frail population including self care and preventative care. Additional duties as assigned,including care management tasks as needed. Minimum Qualifications: New York State RN license. Ability to travel in and around Bronx, New York. Unexpired NY state driver's license or NYS ID Bilingual Spanish/English Preferred Qualifications: Geriatrics Home Care Discharge Planning Case Management Medical Surgical Nursing Electronic patient health information (PHI) database experience Knowledge of health insurance, Medicaid, Medicare and MLTCP Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement Time management, critical/creative thinking, communication, and problem-solving skills Field experience assessing, planning, and evaluating member's/patient's care Demonstrated ability handling heavy caseloads Intermediate Microsoft Word, Excel and Outlook skills. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services. EEO Law Poster and Supplement All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470 All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes, preventative care, and cost efficiency. Recognized by Forbes as a Dream Employer of 2025, Healthfirst is committed to fostering a culture of innovation, creativity and belonging. As a UAS Nurse Assessor, you will help ensure our members receive the care and services they need to lead healthier, more independent lives. This role is perfect for RNs who are passionate about making a positive impact in the lives of patients/families and appreciates a job with flexibility and manageable caseloads. Whether you're an experienced nurse or a new graduate eager to start your career, you'll have the opportunity to grow in a supportive environment. Enjoy the benefit of working in the field while also conducting in-person assessments throughout Bronx-close to great public transportation, shopping centers, and some of NYC's most vibrant neighborhoods. What we offer: * Flexible work schedule (4x10s or M-F ) * No weekends, holidays or night shifts * Full benefits; Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more! * Immersive 6-week training program to support you and set you up for success * Professional growth & development opportunities 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 critical thinking skills. As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually * Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently * Completes assessment of service needs per CMT and member's family/caregiver's request to determine service needs or any necessary adjustments * Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission * Conducts in-person Care Management visits in support of person-centered service planning * Liaisons between the member and the CMT; assesses home environment and psychosocial status * Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance * Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies * Ensures (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan * Additional duties as assigned Minimum Qualifications: * New York State RN license * Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester. * Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities * Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills * Prior work experience requiring time management, critical/creative thinking, communication, and problem-solving skills * For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations Preferred Qualifications: * Work experience using electronic patient health information (PHI) database usage especially UAS * Previous field-based experience assessing, planning, and evaluating member's care by making home or facility visits for intake/reassessments or start of care (SOC) Community Home Health Agency (CHHA) visits * Work experience preferred in one or more of the following areas, geriatrics, home care, discharge planning, case management, and/or medical surgical nursing * Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement * Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese * Demonstrated ability handling heavy caseloads * NY state driver's license WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to *********************** or calling ************ . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC. Know Your Rights All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process. Hiring Range*: * Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470 * All Other Locations (within approved locations): $71,600 - $106,505 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. * The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.