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Fallon Health Associate Medical Director - Summit Eldercare PACE Program - 6 Sites! in Worcester, Massachusetts

Overview

WHAT IS A “PACE” PROGRAM?

Programs of All-Inclusive Care for the Elderly (PACE)

The PACE Model of Care is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible. These are individuals who are age 55 or older, certified by their state to need nursing home care, able to live safely in the community at the time of enrollment, and live in a PACE service area.

THE OPPORTUNITY:

Fallon Health’s Summit ElderCare operates 6 PACE programs around Massachusetts and our growth finds us very excited to bring a new physician leader on to the team. This role is considered the second in command and part of the future and growth of Summit ElderCare and you will enjoy being partnered very closely with our PACE Medical Director. You will be intimately involved in every facet of our Summit ElderCare business including (but not limited to); Manage and develop staff, Utilization and Quality Management and regulatory Compliance, Participant care.

ABOUT SUMMIT ELDERCARE:

Summit ElderCare, offered by Fallon Health, is the only program of its kind in Central Massachusetts and is one of eight PACE programs in the State. Currently there are 130 PACE Organizations nationwide across 31 states operating 263 PACE centers. 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 nurse practitioners are able to provide care for the frail elder not available in any other setting. Our comprehensive program is not constrained by the usual insurance company rules and benefit limitations and we have the capacity to offer services that are not often covered by other plans.

The physicians and nurse practitioners 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), 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.

Responsibilities

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 the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit.

Qualifications

  • A board certified Doctor in Internal Medicine or Family Practice with a track record as a great and innovative leader of people and teams.

  • Extensive experience and PASSION working with an elderly or frail population.

  • Expertise and affinity for an interdisciplinary approach to care management.

  • A true modern medical leader that also enjoys the business side of the program and loves to get involved in the operations, population health, UM management, budgeting, marketing, analytics, cost of care economics, business cases with ROI and more.

  • Technical expertise and influence is highly desired as well including EMR/EHR and other systems and tools.

  • Additional Board Certification in Geriatric Medicine and/or Hospice and Palliative Care Medicine is highly desirable.

Not Ready to Apply / Interested in More Detail?

Email Direct In Strictest Confidence:

steve.baraban@fallonhealth.org

JT18

Location US-MA-Worcester

Posted Date 1 month ago (1/23/2020 4:33 PM)

Job ID 5876

# Positions 1

Category Physician

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