Jobs at Fallon Health

Provides direct nursing care to PACE participants across care settings. Conducts assessments, implements provider orders, delivers individualized services, monitors interventions, contributes to care plans, delegates appropriately, responds to emergencies, documents care, and collaborates with interdisciplinary teams. The role also includes participant education, staff training, on-call and weekend rotations, and supporting frail or elderly adults.

Provides direct nursing care to PACE participants across care settings. Responsibilities include implementing provider orders, conducting physical and psychosocial assessments, delivering individualized care, monitoring interventions, contributing to care plans, responding to emergencies, documenting care, coordinating with interdisciplinary teams, delegating appropriately, training staff, and participating in on-call rotations. Requires Massachusetts RN or LPN licensure, CPR and Alzheimer’s certification, reliable transportation, and recent experience caring for adults, including frail or elderly populations.

Provides direct nursing care to PACE participants across care settings. Develops and implements individualized care plans, performs assessments, administers medications and treatments, coordinates interdisciplinary care, delegates tasks, monitors interventions, responds to emergencies, documents care, and advocates for participants. The role also includes caregiver communication, staff training, committee participation, on-call rotation, and clinical testing such as EKGs, bladder scans, point-of-care testing, and glucometer testing.

Oversees rehabilitation services for PACE participants, managing physical and occupational therapy staff, assessments, care planning, direct treatment, documentation, scheduling, equipment needs, claims, authorizations, quality surveillance, and performance management. Collaborates with interdisciplinary teams, caregivers, vendors, and home care leadership to ensure participant rehabilitation needs and regulatory requirements are met.

Coordinates daily front-office operations for a PACE center, including phone and visitor support, mail and fax distribution, transportation scheduling, medical appointment coordination, records scanning, EHR maintenance, authorization entry, and grievance or incident logging. Maintains accurate transportation and arrival logs, communicates changes to departments and vendors, and supports timely completion of administrative work.

Coordinates daily front-office operations for a PACE center, including reception, phone coverage, mail, faxing, transportation communications, appointment scheduling, medical-record management, EHR updates, authorizations, scanning, and grievance or incident logging. Maintains accurate transportation and participant records, supports departments with administrative work, and provides compassionate customer service to participants, visitors, vendors, and staff.

Oversees the company’s EDI processes, including HIPAA transaction implementation, file tracking, transmission troubleshooting, claims reconciliation, regression testing, and system upgrades. Coordinates with IT, configuration teams, clearinghouse vendors, and providers; manages EDI security setup, documentation, training, and communications. Leads efforts to increase electronic provider submissions and claim auto-adjudication while monitoring quality, testing applications, and resolving submission issues independently.

Provides care coordination and case management for medically complex members. Conducts in-person and telephonic assessments, medication reconciliation, transitions of care, member education, and individualized care planning. Coordinates services with providers, caregivers, behavioral health teams, pharmacists, navigators, and community partners. Ensures regulatory compliance, supports quality initiatives, and advocates for member needs.

Develops and coordinates therapeutic life-enrichment programming for frail elderly PACE participants, addressing physical, social, intellectual, artistic, and spiritual needs. Supervises Life Enrichment Assistants, manages schedules, supplies, volunteers, community partners, and program documentation. Assesses participant needs, contributes to interdisciplinary care planning, updates medical records, and incorporates participant feedback to improve engagement and quality of life.

Provides primary, preventive, urgent, and specialty-coordinated medical care to frail older adults in a PACE program. Conducts participant assessments, develops care plans, collaborates with interdisciplinary teams, coordinates transitions and consultations, documents care and coding, participates in on-call coverage, and may provide care in clinics, facilities, or patients’ homes.

Provides direct nursing care to PACE participants across care settings. Responsibilities include implementing provider orders, conducting physical and psychosocial assessments, delivering individualized care, monitoring interventions, developing care plans, coordinating with interdisciplinary teams, documenting care, responding to emergencies, training staff, and participating in on-call rotations.