Job Description

Overview

About Fallon Health

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

About Summit ElderCare:

Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities.

Brief summary of purpose:

Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice

Competencies:

Demonstrates commitment to the Fallon Community Health Plan Mission, Values and Vision.

Specific competencies essential to this position:

• Customer Focus     
• Commitment Through Action     
• Contributes to Team Performance
• Focus Upon Quality 

Responsibilities

Primary job responsibilities:    

• Reviews and implements Provider’s orders.
• Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and MDS-HC as indicated.
• Involves participants and significant other(s) based on needs and abilities.
• Delivers care to participants in any setting, including skilled services, based on individualized needs and according to age-appropriate nursing standards.
• Provides for cultural and diverse needs of participants when providing care.
• Monitors and evaluates therapeutic interventions.
• Participates in the development and ongoing review of each participant’s care plan.     
• Delegates participants’ care responsibilities to other members of the health care team, when appropriate.
• Identifies emergency situations and initiates appropriate nursing orders/interventions.
• Meets the needs of participants in a timely manner.
• Participates in the interdisciplinary team (IDT) process and collaborates with IDT members to meet the needs of participants.
• Consistently documents all aspects of participant care, including significant changes in health status, monthly nurses’ notes and health care teaching in the medical record.
• Participates in training and orientation of new nursing staff as assigned.
• Assists in the delivery of other nursing services as assigned.
• Participates in the nursing “on-call” rotation as assigned.
• Performs all duties in accordance with FCHP and Summit ElderCare policies and procedures.
• Participates in Weekend RN On Call rotation

Qualifications

Education, Licenses, certification and experience requirements:

Education:

RN Graduate of an accredited school of nursing

LPN Graduate of an Accredited Practical Nursing Program

License:

RN-Current license as an RN in the state of Massachusetts   

LPN-Valid license to perform Practical Nursing in the Commonwealth of Massachusetts

Access to reliable transportation to perform work throughout the PACE center’s service area (30-mile radius) when needed. 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.

Certification:

Current CPR and Alzheimer’s certification, or willingness to be certified within 60 days of hire, is essential.

Experience:

At least two years of recent experience in the direct care of adults or chronically disabled persons, with at least one year caring for a frail or elderly population. Ambulatory care or home care experience is helpful.   

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.

#P01