Home Care Manager-Springfield - M- F

Home Care Manager – Springfield

Shift: Monday–Friday 8:00 AM–4:30 PM

• Location:
  
  US-MA-Springfield
• Job
• # Positions: 1
• Category:
  Medical Management

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.

Brief Summary of purpose:

Responsible for:

• Development and revision of PACE Home Care related policies and procedures across the program
• The oversight of the site's homecare department and provision of all in‑home nursing services provided by site nursing staff.
• Assuring that the home care needs of participants are assessed and met either by SE‑employed staff or through coordination of care with contracted home care vendors.
• The coordination and supervision of care for participants in the various Summit Eldercare Supportive Housing Program apartments as applicable.

Functions independently in the day‑to‑day management of the home care department to assure that participants' home service needs are met.

Performs functions in adherence with Fallon Health and Summit Elder Care policies and procedures, State and CMS regulatory guidelines, leadership guidance and program goals.

Primary

Job Responsibilities:

• Coordinates the provision of home care services.
• Assures that initial and periodic assessments are conducted to identify in‑home service needs.
• Participates in the development of participants' care plans.
• Provides direct oversight to Home Care RNs who work in collaboration with SE providers, interdisciplinary team (IDT), participants, and caregivers to determine and meet participants' home care needs.
• Assures that care plan revisions are communicated in a timely manner to agencies and SE home care staff; supervises implementation as necessary.
• Conducts vendor audits as assigned, in compliance with PACE/CMS requirements.
• Assumes responsibility for instruction and supervision of nursing staff, health aides and Service Coordinator.
• Delegates work to home care staff, according to their scope of practice, by establishing work assignments and coordinating staff schedules.
• Performs home care visits and in‑home assessments of assigned panel of participants and for others in the absence of assigned Home Care RN.
• Ensures placement and 60‑day supervision visits for all employed home health aides are completed in a timely manner to facilitate ongoing home care needs of SE participants
• Assures that home safety evaluations are completed in a timely manner and information is communicated to the IDT.
• Assures that assessments, reassessments, and home care services are documented in an accurate and timely manner in the EMR.
• Collaborates with rehabilitation department to secure in‑home equipment to meet participants' needs.
• Assures that changes in participant status/needs are communicated to home care staff/agencies in a timely manner.
• Actively participates in IDT morning meetings, huddles and family meetings.
• Oversees data collection and quality surveillance as required.
• Collaborates with the Site Director to establish goals and objectives related to home care services.
• Onboarding of newly contracted Home Care agencies
• Conducts Enrollment Home Visits as…