Fallon Health Nurse Practitioner Part Time - Webster Home Base/ Float Attleboro - Worcester! in Webster, Massachusetts
That’s Right!.. Fantastic work setting working in an elder adult day setting –
Quality over Quantity Care Setting!
Great Mentoring with Physicians and Opportunities to Work with Students!
PACE is a Growing Area of Health Care, Come Grow with It!
About Summit ElderCare:
Offered by Fallon Health, we are the only program of its kind in Central Massachusetts and is one of eight PACE programs (Program of All-Inclusive Care for the Elderly) in the State. Summit ElderCare© provides a combination of medical, social and insurance services using an interdisciplinary team approach to help older adults avoid nursing home placement. The program offers outpatient medical care, social day programming, home care and comprehensive insurance coverage with no co-payments or paperwork for participants. Our Physicians and Advanced Practitioners are able to provide care for the frail elder not available in any other setting and enjoy the flexibility to devote as much time as needed for the clinical and social needs of our participants. We leverage a collaborative team approach to care planning 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:
Manages a primary care panel of participants and provides continuity primary health care to PACE participants that reside in the community or long-term care setting with a focus on goal oriented, person-centered care, disease progression, disease prevention, wellness and management of chronic and episodic illness consistent with the participant’s goals of care. Works in close collaboration with all members of the PACE Interdisciplinary Team.
Establishes realistic goals and helps develop and manage individualized plans of care with the IDT team for program participants.
Provides primary health care to Summit ElderCare program participants focusing on disease prevention, wellness and management of chronic and episodic illness. Addresses advance directives in a participant-focused manner focusing on what matters most.
Works in close collaboration with the program’s interdisciplinary team to establish realistic goals and care plans and develop and manage individualized plans of care for program participants.
Performs post enrollment visits, biannual exams of participants and appropriately identifies and documents problems/issues in medical records
Evaluates episodic illnesses and issues appropriate diagnostic and therapeutic orders
Collaborates with physicians and other interdisciplinary team members to manage episodic and chronic medical needs of participants
Addresses and documents Advance Directives/MOLST discussion for participants a minimum of annually and when a change in participant condition occurs
Performs diagnostic, therapeutic and nursing intervention as indicated
Provides continuity in monitoring of chronic, stable illnesses
Implements the participant plan of care in a safe and effective manner
Participates in interdisciplinary team meetings
Evaluates effectiveness of previously implemented treatment
Conducts home and nursing home visits as indicated
Maintains accurate documentation and coding of all services provided according to professional standards
Identifies utilization and service delivery problems and participates in identifying a resolution
Identifies grievances and brings forward to leadership
Participates in quality assessment activities including but not limited to record reviews, outcome measurement and review/revision of policies and procedures
Provides education and training to participants, caregivers and staff in relevant topics
Acts a resource to program staff and participates in defining care standards and practices
Serves on appropriate committees, participates in all site and provider staff meetings including behavioral rounds and psychiatric rounds as indicated.
Enhances personal professional growth and self-development through participation in professional activities including educational programs, current literature, in-service programs, trainings and workshops.
Maintains BLS certification and professional certification as appropriate.
May be asked to perform other duties that align with Fallon Health’s mission, including but not limited to participation on clinical committees, providing education, quality initiatives and/or other activities.
Master’s degree required. Graduate of an accredited Nurse Practioners program
Licensed by the Commonwealth of Massachusetts Board of Registration in Nursing.
One to three years of Nurse Practitioner experience preferred with at least one year of experience in geriatric care.
Experience working in a healthcare setting as a member of a professional clinical team.
Experience with care coordination.
About Fallon Health:
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, Fallon delivers equitable, high-quality coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. 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 (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.
Fallon Health Vaccination Requirements:
To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
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.
Posted Date 7 months ago (8/23/2022 3:52 PM)
Job ID 7003
# Positions 1