About The Position

Join a Mission-Driven Team at Fallon Health Summit ElderCare! This position is part of the Summit ElderCare PACE program, an innovative model of care that helps older adults live safely and independently at home. The role emphasizes quality over quantity, collaborative interdisciplinary teamwork, and making a difference in the lives of frail elders. The work-life balance is supported by a Monday-Friday schedule with flexible hours and an optional administrative day. Patient care is centered around seeing an average of 4 patients per day with a panel of 65, allowing for more meaningful interactions. The team operates with a collaborative approach to care planning, known as the Interdisciplinary Team (IDT), which includes various healthcare professionals. Fallon Health's Summit ElderCare is a Program of All-Inclusive Care for the Elderly (PACE), offering an alternative to nursing home care for individuals 55 and older, enabling them to live safely at home. Fallon Health values diversity and inclusion among its employees.

Requirements

  • Medical degree, Geriatric specialty strongly desired
  • A Doctor of Medicine or osteopathy legally authorized to practice medicine or surgery in the Commonwealth of Massachusetts.
  • Current DEA certificate.
  • Board certification Internal Medicine, Geriatrics or Family Practice preferred.
  • Must possess a valid drivers’ license
  • Must attest to no disqualifiers per Driver Safety Policy
  • Must possess and provide proof of minimal state required auto insurance
  • Must have reliable transportation
  • At least 1 year working with a frail or elderly population.
  • Strong clinical assessment and communication skills
  • Ability to function effectively with an interdisciplinary team (IDT) approach.

Responsibilities

  • Support the intake and enrollment process by meeting with participants and caregivers to represent the program and conduct initial assessments.
  • Conduct biannual participant assessments.
  • Assist with the development and maintenance of participant care plans.
  • Participate in the interdisciplinary team (IDT) process.
  • Provide routine, preventive and urgent care to participants.
  • Promote strong collaborative relationships between participants, their caregivers and other PACE staff.
  • Provide and arrange for specialty care consultations in support of participant care plans.
  • Incorporate and coordinate specialist reports and recommendations into the medical record, assessments and care planning.
  • Complete all required documentation in the participant chart and other forms as directed.
  • Participate in after hours on call arrangements as determined by the PACE Medical Director.
  • Provide care and assessments of participants in the most appropriate setting including the PACE clinic, inpatient facilities or participants’ homes.
  • Participate in committees and work teams as requested by the Medical Director.
  • Work in partnership with the PACE transitional care coordinator to support achievement of quality and utilization goals.
  • Develop effective collaborative relationships with community physicians and other providers.
  • Perform participant chart audits as requested by the PACE Medical Director.
  • Document complete diagnostic and procedure codes in the participant chart and encounter forms to support care plans and accurate revenue collection.
  • Conduct community presentations or represent Summit ElderCare at external functions or meetings upon request of the Medical Director or Executive Director.
  • Pursue professional growth through continuing education that, at the minimum, meets the Massachusetts Board of Registration requirements for license renewal.
  • Assist with education of PACE staff upon request.
  • Perform other duties as needed.

Benefits

  • Great benefits
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