About The Position

Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly (PACE), helping people aged 55 and older continue living safely at home as an alternative to nursing home care. The Nurse Practitioner manages a primary care panel and provides continuity of primary health care to PACE participants living in the community or long-term care settings. Care is goal-oriented and person-centered, focusing on disease progression and prevention, wellness, and management of chronic and episodic illness in keeping with each participant’s goals of care. The Nurse Practitioner collaborates closely with physicians and the PACE interdisciplinary team to establish realistic goals and develop and manage individualized plans of care. The role also includes addressing advance directives in a participant-focused manner, including discussions about what matters most. The role requires a master’s degree and graduation from an accredited Nurse Practitioner program, along with licensure by the Commonwealth of Massachusetts Board of Registration in Nursing. Driving is an essential job function; the employee must meet Fallon Health’s stated driver, vehicle insurance, transportation, and driving-record requirements. One to three years of Nurse Practitioner experience is preferred, including at least one year in geriatric care. The role also requires experience in a healthcare setting as part of a professional clinical team and experience with care coordination, as well as satisfactory CORI results. The posted annual pay range is $150,000–$170,000. Final compensation depends on the candidate’s experience, skills, and fit with the role’s responsibilities.

Requirements

  • Master’s degree.
  • Graduate of an accredited Nurse Practitioner program.
  • Licensed by the Commonwealth of Massachusetts Board of Registration in Nursing.
  • Valid driver’s license and satisfactory driving record report.
  • Maintain the minimum state-required insurance on the vehicle used for company business, as referenced in Fallon Health’s Drivers’ Safety policy.
  • Reliable transportation.
  • Meet the requirements of Fallon Health’s Drivers’ Safety Policy.
  • Experience working in a healthcare setting as a member of a professional clinical team.
  • Experience with care coordination.
  • Satisfactory Criminal Offender Record Information (CORI) results.
  • Maintain BLS certification and professional certification as appropriate.

Nice To Haves

  • One to three years of Nurse Practitioner experience, including at least one year of geriatric care.

Responsibilities

  • Perform post-enrollment visits and biannual participant exams, identifying and documenting problems or issues in medical records.
  • Evaluate episodic illnesses and issue appropriate diagnostic and therapeutic orders.
  • Collaborate with physicians and interdisciplinary team members to manage participants’ episodic and chronic medical needs.
  • Discuss and document advance directives/MOLST at least annually and when a participant’s condition changes.
  • Perform diagnostic, therapeutic, and nursing interventions as indicated.
  • Monitor chronic, stable illnesses to provide continuity of care.
  • Implement participant plans of care safely and effectively.
  • Participate in interdisciplinary team meetings.
  • Evaluate the effectiveness of previously implemented treatment.
  • Conduct home and nursing home visits as indicated.
  • Maintain accurate documentation and coding of services according to professional standards.
  • Identify utilization and service delivery problems and participate in developing resolutions.
  • Identify grievances and bring them forward to leadership.
  • Participate in quality assessment activities, including record reviews, outcome measurement, and review or revision of policies and procedures.
  • Provide education and training to participants, caregivers, and staff on relevant topics.
  • Act as a resource to program staff and participate in defining care standards and practices.
  • Serve on appropriate committees and participate in site and provider staff meetings, including behavioral and psychiatric rounds as indicated.
  • Support professional growth and self-development through educational programs, current literature, in-service programs, trainings, and workshops.
  • Maintain BLS certification and professional certification as appropriate.
  • Perform other duties aligned with Fallon Health’s mission, which may include clinical committees, education, quality initiatives, or other activities.
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