Nurse Practitioner -Springfield
About The Position
Fallon Health’s Summit ElderCare® PACE program provides coordinated care to people age 55 and older so they can continue living safely at home. The Nurse Practitioner manages a primary care panel and provides continuous primary health care to participants living in the community or in long-term care settings. Care is goal-oriented and person-centered, with attention to disease progression and prevention, wellness, and management of chronic and episodic illness in accordance with each participant’s goals of care. The position works closely with the PACE Interdisciplinary Team (IDT) to establish realistic goals and develop and manage individualized plans of care. The role also addresses advance directives in a participant-focused manner, including consideration of what matters most to each participant.
Requirements
- Master’s degree and graduation from 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.
- Maintains the minimum state-required insurance on the vehicle used for company business, as referenced in Fallon Health’s Drivers’ Safety policy.
- Reliable transportation.
- Meets Fallon Health’s Drivers’ Safety Policy requirements.
- 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.
Nice To Haves
- One to three years of Nurse Practitioner experience, preferred, including at least one year of geriatric care experience.
Responsibilities
- Performs post-enrollment visits and biannual participant exams, identifying and documenting problems and issues in medical records.
- Evaluates episodic illnesses and issues appropriate diagnostic and therapeutic orders.
- Collaborates with physicians and other interdisciplinary team members to manage participants’ episodic and chronic medical needs.
- Discusses and documents Advance Directives/MOLST with participants at least annually and when a participant’s condition changes.
- Performs diagnostic, therapeutic, and nursing interventions as indicated.
- Provides continuity in monitoring chronic, stable illnesses.
- Implements participant plans of care safely and effectively.
- Participates in interdisciplinary team meetings.
- Evaluates the effectiveness of previously implemented treatment.
- Conducts home and nursing home visits as indicated.
- Maintains accurate documentation and coding of services according to professional standards.
- Identifies utilization and service-delivery problems and participates in resolving them.
- Identifies grievances and brings them to leadership’s attention.
- Participates in quality assessment activities, including record reviews, outcome measurement, and review or revision of policies and procedures.
- Provides relevant education and training to participants, caregivers, and staff.
- Acts as a resource to program staff and participates in defining care standards and practices.
- Serves on appropriate committees and attends site and provider staff meetings, including behavioral and psychiatric rounds as indicated.
- Supports professional growth and self-development through professional activities, educational programs, current literature, in-service programs, trainings, and workshops.
- Maintains BLS certification and professional certification as appropriate.
- May perform other duties aligned with Fallon Health’s mission, including clinical committee participation, education, quality initiatives, and related activities.
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What This Job Offers
Job Type
Full-time
