Medical degree (MD or DO) from an accredited institution
Licensed MD or DO in Massachusetts
Board Certification in Internal Medicine, Family Practice, or Geriatrics preferred
1+ year experience with frail or elderly populations
2-3 years' experience in post-acute or long-term care settings
Strong clinical skills in managing complex, frail patients
Excellent communication and interpersonal skills
Responsibilities
Review and cosign interdisciplinary documentation for accuracy
Perform admission H&P and regulatory required physician visits
Manage treatment for participants with chronic medical problems
Lead transitions of care from hospital to SNF
Conduct daily or scheduled rounds in assigned SNFs
Collaborate with SNF staff and interdisciplinary team members
Communicate effectively with participants and caregivers
Benefits
Supportive team-based environment
Opportunity to work with a diverse patient population
Focus on participant-centered care
Regular interdisciplinary team meetings
Professional development opportunities
Visibility and accessibility within SNFs
Full Job Description
Overview
Position: SNFist (Skilled Nursing Facilityist) - PACE Program in WORCESTER, MA
Salary Range: $285,000-$310,000/year, based on skills and experience.
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.
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About Fallon Health
Fallon Health is a non-profit health care services organization that provides health care services designed to meet the unique and changing needs of all we serve. We are committed to providing our members with the highest quality health care products and services, while also providing our employees with a supportive and rewarding work environment. Our mission is to improve the health and well-being of our communities by providing innovative, high-quality, and affordable health care services.
