Physician - SNF-ist - PACE Program - Worcester MA - flexible Schedule

Fallon Health•Worcester, MA

54d•$285,000 - $310,000

About The Position

Join a Mission-Driven Team at Fallon Health Summit ElderCare! Position: SNFist (Skilled Nursing Facilityist) – PACE Program in WORCESTER, MA Salary Range: $285,000–$310,000/year, based on skills and experience. At Fallon Health, we don’t just offer jobs—we offer purpose. As part of our Summit ElderCare PACE program, you’ll be at the forefront of a growing, innovative model of care that helps older adults live safely and independently at home. If you’re passionate about quality over quantity, enjoy working in a collaborative interdisciplinary team, and want to make a real difference in the lives of frail elders, this is the opportunity for you. Work-Life Balance: Monday–Friday, 8-hour days with a flexible schedule, and an optional administrative day with no direct patient care. Patient-centered Care: See an average of 5 -6 patients per day Team-based Culture: Work alongside a dedicated interdisciplinary team of geriatric care professionals Mentorship & Growth: Benefit from strong peer mentorship and leadership support Mission-driven Work: Help frail elders avoid nursing home placement and live with dignity in the community "PACE is the future of elder care—and Fallon Health is leading the way. If you’re looking for a career where your time, expertise, and compassion truly matter, Summit ElderCare is the place to be." About us: Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities enable us to serve our members better. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. The Summit Eldercare skilled nursing facility physician is responsible for providing high-quality, participant-centered care to patients in skilled nursing facilities (SNFs). He/she will manage medically complex, post-acute and long-term care participants residing in Skilled nursing facilities. He/she will be responsible for initial and ongoing care at the assigned SNFs, optimizing participants’ health outcomes, in coordination with the SNF and Summit Eldercare Interdisciplinary team.

Requirements

Medical degree (MD or DO) from an accredited school of medicine
MD or DO licensed in Massachusetts
Board Certification in Internal Medicine, Family Practice, or Geriatrics (preferred)
DEA certification
1+ year experience with frail or elderly populations
Passion for team-based, patient-centered care
2-3 years’ experience in post-acute care, long-term care or geriatric settings
Strong clinical skills in managing complex, frail patients with multiple chronic medical problems, preferably in a skilled nursing facility setting
Knowledge in Skilled Nursing Facility (SNF) regulations and standards of care preferred
Excellent communication and interpersonal skills
Demonstrated ability to work effectively in an interdisciplinary team model, PACE model of care preferred
Proficiency in using electronic medical records (EMR)

Responsibilities

Clinical care and oversight
Review and cosign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment.
Perform duties including, but not limited, to admission H&P, regulatory required physician visits, medications and treatment plans review, signatures on all orders and progress notes.
Manage and coordinate treatment for participants with multiple chronic medical problems, acute/arising conditions, and complex medication regimens
Lead and oversee all transitions, including hospital to SNF, ensuring timely and effective care
Conduct daily or scheduled rounds in assigned skilled nursing facilities (SNFs)
Collaborate closely with the SNF staff i.e. nursing staff, Director of nursing, rehab team, etc.
Coordinate closely with the Summit Eldercare interdisciplinary team members
Participate in daily SE IDT meetings and communications as needed to ensure effective, appropriate, and coordinated care
Communicate effectively with participants, caregivers, facility staff and SE IDT members regarding patient goals, treatment plans and care transitions
Build and sustain trusted relationships with SNF medical directors, Directors of Nursing, and key SNF clinical leaders to enhance care consistency and collaboration between SNFs and Summit Eldercare
Maintain a regular, visible presence in each assigned SNF, promoting physician accessibility and adherence to PACE principles
Partner with hospitalist, SE primary care provider and other team members, to support smooth transitions of care and reduce hospital admissions and readmissions
Collaborate with SE team in meeting related utilization metric and MLR goals
Regulatory compliance
Ensure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and documentation standards
When applicable, supervise advanced practitioners following state law and CMS regulations
Document all physician visits and orders in compliance with SNF EMR standards and PACE documentation requirements.
Participate in grievances reviews, when applicable, in collaboration with the SE team
Review and co‑sign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment.