SE Primary Nurse - Webster, MA

Overview

SE Primary Nurse - Webster, MA

Location:

US-MA-Webster

Job  
• Category:
Nursing • # Positions: 1

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 Elder Care is a Program of All-Inclusive Care for the Elderly (PACE). PACE helps people 55 and older continue living safely lon Health embraces 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.

Brief Summary of purpose

Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice.

Primary Job Responsibilities

• Primary nurse not only has the responsibility for the participant, but the authority to advocate for the best care for the participant unique to their situation.
• Fostering a relationship with the caregiver and participant.
• Primary Nurse will take on a Leadership Role.
• Effectively communicate with the healthcare team.
• Assigns tasks and duties to the healthcare team; ensure the tasks are completed; responsible for their panel.
• Develops an individualized plan of care.
• Accountability for assessments, communicating needs and coordinating the care team.
• Primary nurse develops the plan of care.
• Reviews and implements Provider's orders.
• Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and MDS-HC as indicated.
• Involves participants and significant other(s) based on needs and abilities.
• Delivers care to participants in any setting, including skilled services, based on individualized needs and according to age-appropriate nursing standards.
• Provides for cultural and diverse needs of participants when providing care.
• Monitors and evaluates therapeutic interventions.
• Delegates and/or accepts participants' care responsibilities to other members of the health care team, when appropriate.
• Identifies emergency situations and initiates appropriate nursing orders/interventions.
• Meets the needs of participants in a timely manner.
• Participates in the interdisciplinary team (IDT) process and collaborates with IDT members to meet the needs of participants.
• Consistently documents all aspects of participant care, including significant changes in health status, monthly nurses' notes and health care teaching in the medical record.
• Participates in training and orientation of new nursing staff as assigned.
• Assists in the delivery of other nursing services as assigned.
• Participates in the nursing "on-call" rotation as assigned.
• Initiates and completes falls, infection, grievance and incident reports.
• Participates in CMS calls when deemed necessary.
• Active participant in the site-specific committees.
• Participates in the post IDT huddle and any other additional meetings.
• Any additional tasks deemed necessary by the Clinical Nurse Manager and/or Site Director.
• Assumes the role of the home care nurse, floor or triage nurse per the direction of the Clinical Nurse Manager or Site Director as appropriate.
• Performs all duties in accordance with Fallon Community Health Plan (FCHP) and Summit Elder Care policies and procedures.
• Functions independently to administer medications and treatments as ordered by the provider. Functions independently in the primary nurse role. Independent in performing a nursing assessment and executing the plan of care in all settings the participant may be in.
• Medication administration.
• Performing bladder scans, EKG, Point of Care, and glucometer testing.

Education:

• Graduate of an accredited school of nursing

License/

Certif…