Fallon Health SE Primary Nurse in Webster, Massachusetts
About Summit ElderCare:
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.
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.
Primary nurse not only has the responsibility for the participant, but the authority to advocate for the best care for the participant unique to their situation.
Fostering a relationship with the caregiver and participant.
Primary Nurse will take on a Leadership Role.
Effectively communicate with the healthcare team.
Assigns tasks and duties to the healthcare team; ensure the tasks are completed; responsible for their panel.
Develops an individualized plan of care.
Accountability for assessments, communicating needs and coordinating the care team.
Primary nurse develops the plan of care
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.
Delegates and or accepts 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.
Initiates and completes falls, infection, grievance, and incident reports
Participates in CMS calls when deemed necessary.
Active participant in the site-specific committees.
Participates in the post IDT huddle and any other additional meetings
Any additional tasks deemed necessary by the Clinical Nurse Manager and or Site Director.
Assumes the role of the home care nurse, floor or triage nurse per the direction of the Clinical Nurse Manager or Site Director as appropriate.
Performs all duties in accordance with FCHP and Summit ElderCare policies and procedures.
Functions independently to administer medications and treatments as ordered by the provider. Functions independently in the primary nurse role. Independent in performing a nursing assessment and executing the plan of care in all settings the participant maybe in.
Performing bladder scans, EKG, Point of Care, and glucometer testing
Graduate of an accredited school of nursing
Current license as an RN in the state of Massachusetts
CPR and Alzheimer’s certification, or willingness to be certified within 60 days of hire, is essential.
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 helpful. * *
Ability to use an electronic medical record.
Reliable Transportation 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.
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.
Posted Date 3 days ago (1/23/2023 12:19 PM)
Job ID 7172
# Positions 1