About Fallon Health:
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.
Brief Summary of purpose:
The Case Manager proactively identifies and assesses high-risk members, with complex conditions, and develops and implements an individualized, coordinated care plan, in collaboration with member and primary Care Physician and/or specialist, to ensure a cost effective, quality outcome, focused in the ambulatory setting. The Case Manager assists the member in attaining and/or maintaining an optimal functional status. The Case Manager is responsible for all activities related to:
Graduate from an accredited school of nursing and a Bachelors (or advanced) degree in nursing a health care related field preferred, or Graduate of a social worker program with a Bachelor’s degree in social work, psychology or related field.