Field Assessment Nurse RN, Queens, NY

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 appreciate 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 while conducting in-person assessments throughout Queens—close to great public transportation, shopping centers, and some of NYC’s most vibrant neighborhoods.

• 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 4-to-6-week training program to support you and set you up for success
• Professional growth & development opportunities

• Conduct 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.
• Conduct assessments in settings other than home as needed, e.g., skilled nursing facilities or virtually.
• Navigate multiple technology/digital platforms such as UAS software, electronic medical records, Tru Care, etc., to conduct and document comprehensive assessments accurately and efficiently.
• Complete assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments.
• Review previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission.
• Conduct in-person Care Management visits in support of person-centered service planning.
• Liaison between the member and the CMT; assess home environment and psychosocial status.
• Provide feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance.
• Provide grassroots, community-based training for frail population care including self-care techniques and prevention strategies.
• Ensure (prospective) members and significant others/responsible parties understand and are in agreement with enrollment in a managed long-term care plan.
• Perform additional duties as assigned.

• 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.

• 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.
• 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,…