Before you apply
FY2024 · Form 990Independent: from IRS data, not the orgAbout the role
The org's own posting, as writtenOverview
About us: Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality. 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 allow us to better serve our members. 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. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region.
Summary of purpose: Functions as a member of the PACE Interdisciplinary Team and provides social work services, support and counseling to participants, families and other caregivers. Supervises and directs the Social Work Department in accordance with accepted social work practice. Collaborates with IDT and SE management team to ensure utilization and MLR targets are met. May provide support, training and coverage to other PACE sites as needed.
Responsibilities
Primary Job Responsibilities: Participates in Interdisciplinary Team’s initial assessments, care planning and on-going re-evaluations. Provides clinical services to participants and families in the form of psychosocial assessment and treatment. Provides on-going case management for participants as needs and status changes. Identifies and coordinates resources for participants and their families. Refers participants and their families to appropriate community/government agencies. Acts as advocate and liaison to obtain needed services. Participates in care planning, family meetings, enrollment/disenrollment, and reassessments of SE participants to meet regulatory requirements.
Assures that participants rights are reviewed during the intake process. Participates in meetings, committees, in-services, orientation etc. as required. Participates in policy/procedure and job description development for Social Work Department. Establishes and maintains effective collegial relationships with interdisciplinary team members. Develops collaborative relationships with other health and human services agencies and community providers. Consults with and advises staff members of the relationship of social, emotional, and cultural factors of health and medical care. Participates in Quality Improvement initiatives. Encourages and facilitates subordinates’ ability…
About Fallon Community Health Plan
From its Form 990- Budget $1.84B · Health Care
- Staff 1,346 · founded 1975
- Pays its leaders $325K–$675K (12 reported)
- Open jobs 47 · Jobs at Fallon Community Health Plan · Full 990 report