Full-Time

Field – Assessment RN

Sign-On Bonus, Bilingual Spanish/English

Confirmed live in the last 24 hours

Healthfirst

Healthfirst

1,001-5,000 employees

Provides health insurance plans in New York

Compensation Overview

$71.6k - $117.5k/yr

+ Sign-On Bonus + Annual Bonus

Entry, Junior

Company Does Not Provide H1B Sponsorship

Bronx, NY, USA

In Person

Field either 4 days 10 hours or 5 days 8 hours work schedule.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • 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
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 community based education for our frail population including self care and preventative care.
  • Additional duties as assigned, including care management tasks as needed.
Desired 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.

Healthfirst provides health insurance plans to individuals and families in New York, focusing on the needs of the community. Their offerings include Managed Long-Term Care (MLTC) plans for those with chronic illnesses or disabilities, Medicare Advantage plans that offer additional benefits beyond Original Medicare, and the Essential Plan, a low-cost option for eligible individuals based on income. Healthfirst collaborates with a network of healthcare providers to ensure effective service delivery. Unlike many for-profit insurers, Healthfirst operates as a non-profit organization, emphasizing community outreach and support. The goal of Healthfirst is to improve access to healthcare for New Yorkers while ensuring that their insurance products meet the diverse needs of the population.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

1993

Simplify Jobs

Simplify's Take

What believers are saying

  • Partnership with Hyphen enhances value-based care through improved pharmacist roles.
  • Integration of real-time data solutions enables personalized patient care.
  • Expansion of community offices increases healthcare accessibility in underserved regions.

What critics are saying

  • Increased competition from new digital health platforms may erode market share.
  • Rising healthcare costs in New York could lead to higher insurance premiums.
  • Changes in federal funding for public health programs may impact revenue streams.

What makes Healthfirst unique

  • Healthfirst offers a unique Pharmacy Incentive Program to improve medication adherence.
  • The company focuses on health equity through its ADVANCE initiative addressing social determinants.
  • Healthfirst's community-based health initiatives increase accessibility in underserved New York areas.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Company Match

Performance Bonus

Company News

Business Wire
May 15th, 2024
Hyphen, Healthfirst Collaboration To Empower Pharmacists’ Role In Value-Based Care Receives 2024 Points Of Light Award From Klas Research

HARTFORD, Conn.--(BUSINESS WIRE)--Hyphen, the technology company creating connected-care, has received a 2024 Points of Light Award from KLAS Research, the leading healthcare research and insights firm, for its efforts to improve payer-provider collaboration in support of improved outcomes in value-based care with Healthfirst, a non-profit health plan serving close to 2 million New Yorkers. KLAS recognized Hyphen’s Pharmacy Assistant application, which supports Healthfirst’s Pharmacy Incentive Program. The program is designed to empower community pharmacists within Healthfirst’s network to take action to improve medication adherence rates, increase members’ understanding of their health plan benefits, and get compensated for those actions. This program is especially impactful because 80% of Medicare Advantage members in New York visit their community pharmacy 5-10 times annually — more than they visit their primary care doctor. The Pharmacy Assistant application connects disparate data sources and delivers real-time, actionable information in pharmacists’ existing workflows so they can close care gaps

MENAFN
Jan 25th, 2024
Montefiore Designated As A Behavioral Center Of Excellence, Granted $7M To Address Gaps In NYC Mental And Behavioral Health Care

New York State Office of Mental Health Funding to Support Plans for New Comprehensive Psychiatric Emergency Program and Outpatient Services Includin

WNewsJ
Sep 20th, 2023
Health First announces local grants

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.

Digit Kerala
Aug 10th, 2023
Health First Pharmacy Careers in Dubai - Abu Dhabi and Al Ain

Health First Pharmacy Careers UAE: Health First Pharmacy has published the latest job vacancies on its Careers page.

Clinton County Ohio Foundation
Aug 8th, 2023
Health First Renews Focus on Individual and Community Health and Wellness

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.