Job Description

Fallon health is growing- come, join us!

At Summit, we are always looking for talented providers at all of our locations which include; Worcester, Leominster, Lowell, Springfield, Webster and Dartmouth- We would love to hear from you if there's interest in any of our locations, come take a tour!

That’s Right! Fantastic Teamwork environment caring for a geriatric population utilizing an interdisciplinary model of care

• Monday to Friday, 8 hr day.
• Flexible daily schedule. Create your own!
• Quality over Quantity Care- Average of 4-6 patients a day!
• Focus on providing individualized care
• Great Mentoring with provider colleagues
• PACE is a Growing Area of Health Care, Come Grow with It!

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’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. 

Position Overview:
Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of the Summit ElderCare PACE program.

The team uses a collaborative approach to care planning and is called the Interdisciplinary Team (IDT). The IDT is comprised of Providers (MD/DO and NP/PA), Nurses, Social Workers, Physical and Occupational Therapists, Dieticians, Health Aides, Recreation staff, Home Care and Transportation Coordinators and Site Administrator. This approach to care is the gold standard for complex and frail older adults who wish to avoid nursing home placement.

Brief summary of purpose : The primary role is to provide high quality, cost effective medical care to program participants in accordance with the program mission and participant goal

Highlights of Summit ElderCare

• Primary care physicians and staff with expertise in geriatrics (the care of older adults)
• Specialty care
• Full prescription drug coverage
• 100% hospitalization coverage
• Assistance with activities of daily living (ADLs)
• Adult day health program
• Medical transportation
• Family caregiver support
• Specialized dementia and geriatric care

Primary Job Responsibilities

• Support the intake and enrollment process by meeting with participants and caregivers to represent the program and conduct initial assessments.
• Conduct biannual participant assessments.
• Assist with the development and maintenance of participant care plans.
• Participate in the interdisciplinary team (IDT) process.
• Provide routine, preventive and urgent care to participants.
• Promote strong colloborative relationships between participants, their caregivers and other PACE staff.
• Provide and arrange for specialty care consultations in support of participant care plans. Incorporate and coordinate specialist reports and recommendations into the medical record, assessments and care planning.
• Complete all required documentation in the participant chart and other forms as directed.
• Participate in after hours on call arrangements as determined by the PACE Medical Director.
• Provide care and assessments of participants in the most appropriate setting including the PACE clinic, inpatient facilites or participants’ homes.
• Participate in committees and work teams as requested by the Medical Director.
• Work in partnership with the PACE transitional care coordinator to support achievement of quality and utilization goals.
• Develop effective collaborative relationships with community physicians and other providers.
• Perform participant chart audits as requested by the PACE Medical Director.
• Document complete diagnostic and procedure codes in the participant chart and encounter forms to support care plans and accurate revenue collection.
• Conduct community presentations or represent Summit ElderCare at external functions or meetings upon request of the Medical Director or Executive Director.
• Pursue professional growth through continuing education that, at the minimum, meets the Massachusetts Board of Registration requirements for license renewal.
• Assist with education of PACE staff upon request.
• Perform other duties as needed.

Education: Medical degree, Geriatric specialty strongly desired

License: A doctor of medicine or osteopathy legally authorized to practice medicine or surgery in the Commonwealth of Massachusetts. Current DEA certificate.

Certification: Board certification in Internal Medicine, Geriatrics, or Family Practice preferred. Reliable transportation required.

Experience: At least 1 year working with a frail or elderly population.

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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