Healthfirst - United States, Health and Beauty

Healthfirst seeks a bilingual Field Care Coordinator to conduct home visits for members in downstate New York. This role involves administering health assessments, facilitating video visits, and providing translation support for clinical teams. Candidates need a high school diploma, bilingual pro...

Seeking an experienced **Utilization Management Manager** in **New York** to lead Case Management teams (RNs, Social Workers). You will ensure high-quality, cost-effective care, oversee authorizations, and drive operational efficiency. Requires an Associate’s degree, a clinical license (RN, LPN, ...

Seeking an RN, LPN, or Dental Hygienist for an Appeals & Grievances Clinical Specialist role in New York City or Lake Mary. Manage clinical case development and resolution for member complaints, ensuring compliance with NYS and Medicare regulations. Requires experience in utilization review, case...