Job Description

Job Description

General Information

Req ID: R020082

State: New York

Work Type: Hybrid

Description and Requirements

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 Manhattan—close to great public transportation, shopping centers, and some of NYC’s most vibrant neighborhoods.

What we offer:

• Work schedule: M-F from 11am - 7:30pm
• 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

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 careers@Healthfirst.org or calling 212-519-1798 . 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.

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