Overview
About us:
Fallon Health is a company that cares. We prioritize our members--always making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality. Fallon Health operates one of the largest Programs of All-Inclusive Care for the Elderly (PACE) in the country. Called Summit ElderCare, Fallon’s PACE program helps older adults and their caregivers to avoid or delay nursing home care. Participants in Summit ElderCare are cared for by a team of professionals and have access to social support and a wide array of medical services in one convenient location while they keep the independence of living in their own homes and communities.
Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.
Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region.
Brief Summary of Purpose:
Responsible for the coordination and supervision of all clinical and business aspects of a PACE site.
Responsibilities
- Coordinates all program services, activities and day-to-day operations of the PACE center including: referral and intake, health monitoring, personal care, rehabilitative services, recreational activities, nutrition, transportation, care management and business administration.
- Recruits and hires staff. Supervises and evaluates Clinical Nurse Manager, Social Workers, Supervisor of Support Services, Supervisor of Recreational Activities, Rehab Lead, and Registered Dietician. Indirectly supervises professional and non-professional staff including, but not limited to Provider staff, administrative support staff, medical assistants, nurses, activities assistants, rehab staff, health aides and others.
- In collaboration with the Summit ElderCare Senior Director of PACE Operations, prepares the annual budget for the site and conducts ongoing monitoring of all expenses.
- Conducts site specific staff and management meetings.
- Plans and implements appropriate staff development and support activities.
- Oversees site specific safety and emergency evacuation plans.
- In collaboration with the Fallonhealth Director of Facilities, oversees maintenance of the facility to meet necessary certification and quality standards.
- Oversees and participates in establishing and implementing the care plan for individual participants and ongoing care management.
- Facilitates daily interdisciplinary team meetings.
- Ensures close coordination between participant, family, program staff, primary medical providers and external providers in carrying out individual care plan.
- Participates in quality and management committees as assigned.
- Works closely with the Senior Director of PACE Operations in the development and ongoing monitoring of contracted services. Monitors quality of service provision, authorizes payments to contractors and reports concerns in a timely manner to the Senior Director of PACE Operations.
- Participates in marketing and outreach activities and contributes to the development of the annual marketing plan. Meets with Enrollment staff to ensure coordination of effort as it relates to enrollment targets and provides feedback in a constructive and timely manner.
- Acts as a liaison with community agencies as appropriate. Represents PACE center and Summit ElderCare with community organizations and committees, as requested.
- Maintains consistent contact with designated existing and potential referral sources. Makes presentations to professional and community groups, as needed.
- Participates in other administrative activities relating to the Summit ElderCare site including fiscal management, program planning and development. Demonstrates innovative approach to program development and expansion.
Qualifications
Education, Licenses, certification and experience requirements:
Education:
- Bachelors in business administration, health care administration or related field required. Master’s degree preferred.
- Bachelor of Science in Nursing strongly preferred (If Licensed as a Registered Nurse – must be licensed in the State of MA)
- Certification: Alzheimer’s certification or willingness to become certified
Licenses:
- Access to reliable transportation for necessary travel throughout the service area is required
- Willingness to occasionally assist other SE PACE centers either in person or remotely, as appropriate, when there is an opening or a gap in coverage.
Experience:
- Three – Five years of supervisory experience in an integrated, value-based clinical care model, experience developing and managing a multi-million-dollar budget, experience with utilization management. At least one year experience working with frail elders is required.
About Fallon Health:
Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the nation’s top health plans for member experience and service and clinical quality.
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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