Physician - SNF-ist - PACE Program - Worcester MA - flexible Schedule

Fallon Health; Massachusetts; Hybrid; USD 285,000 - 310,000; Full time

Benefits offered by this job

Flexible schedule

Optional administrative day

Mentorship & growth opportunities

Job summary

Fallon Health Summit ElderCare in Worcester, MA is seeking a SNFist physician to join the PACE program. This role focuses on high-quality, patient-centered care in skilled nursing facilities, with 5–6 patients per day and a Monday–Friday schedule.

You will work with an interdisciplinary team, provide medical oversight, and lead care transitions from hospital to SNF while supporting the goal of helping frail elders live safely at home. Salary ranges from $285,000 to $310,000 per year.

Qualifications

• MD or DO licensed in Massachusetts.
• Excellent communication and interpersonal skills.
• Demonstrated ability to work in an interdisciplinary team model.
• Proficiency in using electronic medical records (EMR).

Responsibilities

• Review and cosign interdisciplinary documentation to ensure accuracy and regulatory alignment.
• Admission H&P, physician visits, medications and treatment plans review, orders and progress notes.
• Manage and coordinate treatment for participants with multiple chronic conditions.
• Lead transitions from hospital to SNF and ensure timely care.
• Conduct daily rounds in assigned SNFs and collaborate with SNF staff.
• Coordinate with SE IDT members for coordinated care.
• Communicate with participants, caregivers, facility staff and the IDT about goals and plans.
• Maintain presence in SNFs to promote physician accessibility and adherence to PACE principles.

Skills

Communication skills

Team-based care

EMR proficiency

Interdisciplinary teamwork

Education

Medical degree (MD or DO)

Job description

Physician - SNFist - PACE Program - Worcester MA - flexible Schedule

Location: US-MA-Worcester

• Job ID: 8557
• # Positions: 1
• Category: Physician

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 cosign (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.

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