The Behavioral Health Clinician provides Behavioral Health services in support of SE participants' health and well being, and to promote effective caregiving and self care skills in participants' caregivers and SE staff. Looking for candidates with trauma informed care and substance use disorder treatment, and bilingual/Spanish speaking preferred. Why should I consider a

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. Responsibilities Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

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. Responsibilities Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

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. Responsibilities Responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and M

The Care Coordinator or Navigator partners with Fallon Health Care Team staff and other providers to communicate at all times what is occurring with the member and their status. The Care Coordinator or Navigator seeks to establish telephonic and face to face (depending upon product and circumstance) relationships with the member/caregiver(s) and provider partners to bette

Responsible for working with pre enrollees, participants, caregivers, staff and external regulatory staff (such as Mass Health) and NaviCare NHC pre enrollees to assure that enrollment in the Medicare and Medicaid systems is accomplished accurately and efficiently with appropriate information entered in the FCHP systems. Also, responsible to ensure recertifications are su

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

Principal responsibility of the Operations Support Service Analyst IV (Senior Business Analyst) is to collaborate with business areas to design, develop, modify and test reports to support business needs and transaction management. The analyst will leverage their developer skill set and experience with large health care data sets and relational databases to develop comple

Social Worker II Location US MA Webster Job ID 7560 # Positions 1 Category Social Work 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 to

Responsible for the analysis, negotiation/renegotiation, implementation, readjustment, evaluation, and continuous improvement of all functions of provider contracting. Manages financial and operational issues related to contractual provider arrangements. Responds to both internal and external customers regarding provider contractual arrangements, both for contract impleme

Applying accounting and business knowledge, supports the Treasury Accounting team by Reviewing daily banking activity to meet accounting policies and Model Audit Rule Controls, Check deposit scanning and other Treasury tasks. Completion of monthly basic journal entries and general ledger account reconciliations Responsibilities Primary Job Responsibilities Perform daily b

The Manager works closely with their counterpart to assist the Senior Director, PACE Operations to manage the program level operational and regulatory functions related to Fallon Health's PACE programs. Responsible for compiling reports and analyzing data and making program level recommendations. T he Manager supports the Senior Director, PACE Operations to manage program

Responsible for the coordination and supervision of all clinical and business aspects of a PACE site serving 250 participants or less. Responsibilities Primary Responsibilities Coordinates all program services, activities and day to day operations of the PACE center including referral and intake, health monitoring, personal care, rehabilitative services, recreational acti

Respond to physician, hospital, ancillary provider inquiries and requests for services associated with the resolution of provider complaints relating to operational concerns, policy and procedures for Fallon Health products and subsidiaries. Understand Fallon Health policies and facilitate and the research required to resolve provider issues. Work collaboratively with int