CMA Jobs in Westborough, MA
$100,000 - $104,000 / year
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 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. Brief 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. Responsibilities Primary job responsibilities: 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 to participate. Directly supervises and provides clinical supervision to other social workers. Interviews, hires, and trains employees. Conducts regular touchpoint meetings, completes performance appraisals, ensures employee competencies, and addresses employee relations issues immediately and directly. Keeps Site Director informed of all employee relations issues and other issues as necessary. Keeps current on changing rules and regulations regarding Medicare/Medicaid eligibilities. Communicates changes in regulations affecting the PACE program to Social Workers. Qualifications Education : Masters in Social Work License: Valid and unrestricted license to practice social work from the Board of Registration of Social Work of the Commonwealth of Massachusetts (i.e., LCSW or LICSW) Driving your personal motor vehicle is an essential job function of this position and the following requirements apply: Must possess a valid drivers’ license Must attest to no disqualifiers per Driver Safety Policy Must possess and provide proof of minimal state required auto insurance Must have reliable transportation Experience: At least five years of experience in a social work capacity, preferably in a medical setting, with a minimum of 2 years of experience working with a frail or elderly population. At least 2 years of supervisory experience preferred. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay for this position is$ 100,000-$ 104,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P01 
$285,000 - $310,000 / year
Overview Join a Mission-Driven Team at Fallon Health Summit ElderCare! 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 ElderCare 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 ElderCare is the place to be." About us: 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 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. Responsibilities Clinical care and oversight 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 Regulatory compliance Ensure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and documentation standards When applicable, supervise advanced practitioners following state law and CMS regulations Document all physician visits and orders in compliance with SNF EMR standards and PACE documentation requirements. Participate in grievances reviews, when applicable, in collaboration with the SE team Review and co‑sign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment. Qualifications Education: Medical degree (MD or DO) from an accredited school of medicine License/ Certifications: MD or DO licensed in Massachusetts Board Certification in Internal Medicine, Family Practice, or Geriatrics (preferred) DEA certification 1+ year experience with frail or elderly populations Passion for team-based, patient-centered care Experience: 2-3 years’ experience in post-acute care, long-term care or geriatric settings Strong clinical skills in managing complex, frail patients with multiple chronic medical problems, preferably in a skilled nursing facility setting Knowledge in Skilled Nursing Facility (SNF) regulations and standards of care preferred Excellent communication and interpersonal skills Demonstrated ability to work effectively in an interdisciplinary team model, PACE model of care preferred Proficiency in using electronic medical records (EMR) Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $285,000 to $310,000 per year , which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P01 
