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Fallon Health Clinical Site Director - Worcester - Growing Elder Service PACE Program in Worcester, Massachusetts

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.

Summary:

Responsible for the coordination and supervision of all clinical, financial and business aspects of a PACE center serving 250 participants or more.

The ideal candidate must have supervisory experience working in an Integrated & Value-based care model, a Strong Clinical background, solid Business Acumen, with Proven Leadership in the areas of communication, conflict management, and personnel management.

Responsibilities

Primary Job 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 Executive Director, 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 SE Director of Facilities Management, 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 SE Senior Director of 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 SE Senior Director of 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.

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

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.

Competencies :

  • Extensive Clinical Knowledge & Understanding

  • Strong Business Acumen

  • Budget Development & Management

  • Recruiting, Hiring, Coaching and developing others

  • Utilization Management

  • Concise Decision Making

  • Effective Problem solving

  • Excellent Oral & Written communication

  • Ability to exercise independent judgment

  • Adaptability

  • Approachability

  • Conflict Resolution

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.

JT18

Location US-MA-Worcester

Posted Date 1 month ago (9/22/2021 2:07 PM)

Job ID 6408

# Positions 1

Category Medical Management

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