Clinical Manager, RN - Springfield

Overview

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 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 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.

Provides program level guidance and recommendations relevant to the provision of clinical and nursing services. Oversees implementation of discipline specific policies and procedures. Responsible for the operations of the PACE center clinic. Oversees all nursing services provided to the participants at the center. Supervises and directs RNs, LPNs and Health Aides assigned to the ADHC. Functions as the Assistant Program Director as needed/assigned.

Primary

Job Responsibilities:

• Assists with recruitment and training of staff within the discipline.
• Participates in the oversight of related contracted vendors.
• Monitors PACE, ADHC and state discipline specific regulations to identify, communicate and when appropriate, implement needed changes.
• Represents the program and related discipline at assigned community and external events upon request.
• Develops and maintain discipline specific competency tools.
• Coordinates the provision of patient care throughout the clinic.
• Collaborates with participants, caregivers, physicians, nurse practitioners and other staff to meet participants’ needs.
• Delegates work to nursing staff members according to their scope of practice by establishing work assignments and coordinating staff schedules.
• Participates in all types of Interdisciplinary Team meetings.
• Participates in management and quality meetings as required.
• Collaborates with the Site Director to establish goals and objectives related to the clinical setting.
• Coordinates/supervises the purchase of medical/surgical/pharmaceutical supplies.
• Assures that clinical equipment is in good working condition in collaboration with the Quality and Risk Manager.
• Assumes responsibility for inservice education for nursing staff.
• Interviews potential nursing staff candidates and makes recommendations for hiring to Site Director.
• Conducts new staff orientation and performance evaluations for clinical staff in a timely manner.
• Conducts regular staff meetings with clinical staff.
• Assists with routine nursing duties as required.
• Assures that corrective action plans are completed for incidents related to clinical services.
• Assists the Site Director to carry out administrative duties as needed. Functions as acting Site Director in the Site Director’s absence.
• Accepts “on-call” duty on a rotating basis and assists the Site Director with scheduling the rotation.
• Performs all duties in accordance with FCHP and Summit Elder Care policies and procedures.
• Oversees site RN On Call rotation and Process; ensures RN coverage for on call

Education

Graduate of an accredited school of nursing. A Bachelor of Science in Nursing is strongly preferred.

License/Certifications

• License to practice as an RN in the State of Massachusetts
• Access to reliable transportation to perform work throughout the PACE center’s service area (30-mile radius) when needed. Willingness to occasionally assist other SE PACE centers either in person or remotely, as appropriate, when there is an opening or a gap in…