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Fallon Health RN Home Care Manager - Growing Elder Service Plan in Worcester, Massachusetts


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.

Position Purpose:

Responsible for the operation of the site’s Homecare Department, and oversight ofin-homenursing services provided by site nursing staff. Responsible for assuring that the home care needs of participants are assessed and met either through the use of SE staff or through coordination of care with contracted vendors. Responsible for the coordination and supervision of care for participants in the various Summit Eldercare Supportive Housing Program apartments, as applicable


  • Coordinates the provision of home care services.

  • Assures that initial and periodic assessments are conducted to identify in-home service needs.

  • Participates in the development of participants’ care plans.

  • Works in collaboration with SE providers, interdisciplinary team (IDT), participants, and caregivers to determine and meet participants’ home care needs.

  • Assures that care plan revisions are communicated in a timely manner to agencies and SE home care staff; supervises implementation as necessary.

  • Conducts vendor audits as assigned, in compliance with PACE/CMS requirements.

  • Assumes responsibility for instruction and supervision of nursing staff, health aidesand Service Coordinator.

  • Delegates work to home care staff, according to their scope of practice, by establishing work assignments and coordinating staff schedules.

  • Performshome care visitsand in-home assessments of assigned panel of participants and for othersin the absence of assignedhome care RN

  • Conducts placement and 60-day supervision visits for all employed home health aides

  • Assures that home safety evaluations are completed in a timely manner and information is communicated to the IDT.

  • Assures that assessments, reassessments, and home care services are documented in an accurate and timely manner in the EMR.

  • Collaborates with rehabilitation department to secure in-home equipment to meet participants’ needs.

  • Assures that changes in participant status/needs are communicated to home care staff/agencies in a timely manner.

  • Actively participatesinIDT,morning meetings, huddles and family meetings.

  • Oversees data collection and quality surveillance as required.

  • Collaborates with the Site Director to establish goals and objectives related to home care services.

  • Administrative:

  • Responsible for interviewing potential candidates for open positions and hiring new staff

  • Facilitates new staff orientation.

  • Conducts regular staff meetings andtouchpoint meetings with all direct reports.

  • Responsible for the timely completion of performance evaluations and staff competencies.

  • Establishes individual goals for all direct reports and reviews progress periodically

  • Responsible for the completion and submission of biweekly payroll.

  • Responsible for reviewing all claims and prior authorizations for accuracy, and to match billing.

  • Addresses employee relations and performance issues immediately and directly.Administers disciplinary actions as required, in collaboration with Site Director and HRBP, as appropriate

  • Assures that corrective action plans are completed for incident/grievance reports related to home care services.

  • Responsiblefor oversight of care provided for participants living in Supportive Housing apartments.

  • Performs all duties in accordance withFHand Summit ElderCare policies and procedures.     


Education: Graduate of an accredited school of nursing. Bachelor of Science in Nursing preferred. *     *

License: Licensed to practice as a registered nurse in the state of Massachusetts. * *

Reliable transportation Required to facilitate necessary travel throughout site service area and corporate offices

*    *

Certification: CPR certification *     *

Experience: At least two years experience working with geriatric population in a healthcare setting. Minimun 2 years management and supervisory experience in home care or community health nursing required

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.

Location US-MA-Worcester

Posted Date 1 month ago (3/2/2020 5:24 PM)

Job ID 5925

# Positions 1

Category Nursing