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Hybrid assessment rn

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Healthfirst

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Location:
United States , Bronx

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Category:
Nursing

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Contract Type:
Not provided

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Salary:

102000.00 - 120000.00 USD / Year
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Job Description:

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 from home part of the time while also conducting in-person assessments throughout Brooklyn—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
  • Must be fluent in English & Spanish

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:
  • 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
  • $7,500 Sign-On Bonus

Additional Information:

Job Posted:
February 10, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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