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 fallonhealth.org.
Brief summary of purpose
The ACO Care Integration Manager will provide important care coordination and care management function across Fallon Health teams, Accountable Care Organizations (ACOs), Community Partners (CPs) and other entities in the management of Fallon’s Medicaid ACO members with medical and/or behavioral health complexity.
Primary Job Responsibilities
A minimum of four years of case management experience managing Medicaid/disabled patients or experience in a coordinated care program servicing the needs of Medicaid and disabled populations preferred.
Experience with addressing behavioral health issues and social determinants of health and linking members to community resources to address these needs
Demonstrate the following areas of proficiency including, but not limited to: