Physician - SNF-ist - PACE Program - Worcester MA

Overview

• 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 Elder Care 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 Elder Care is the place to be.

Fallon Health’s Summit Elder Care® 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  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.

• 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

• Ensure compliance with all CMS physician services requirements…