This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
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 Bronx—close to great public transportation, shopping centers, and some of NYC’s most vibrant neighborhoods.
Job Responsibility:
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
Requirements:
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
Nice to have:
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
What we offer:
$10,000 Sign-On Bonus
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