Fallon Health

SE Home Care Nurse

Location US-MA-Framingham
Posted Date 3 weeks ago(5/24/2024 6:28 PM)
Job ID
# Positions


About Fallon Health:

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, Fallon delivers equitable, high-quality coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter, and LinkedIn.


About Summit ElderCare:

Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities.


Brief Summary of Purpose:

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. 




  • Reviews and implements Provider’s orders.
  • Conducts nursing assessments according to policy guidelines including physical, psychosocial, behavioral, and MDS-HC as indicated.
  • Involves participants and significant other(s) based on needs and abilities.
  • Delivers care to participants in the home setting , including skilled services, based on individualized needs and according to age-appropriate nursing standards.
  • Provides for cultural and diverse needs of participants when providing care.
  • Monitors and evaluates therapeutic interventions.
  • Participates in the development and ongoing review of each participant’s care plan.     
  • Delegates and or accepts participants’ care responsibilities to other members of the health care team, when appropriate.
  • Identifies emergency situations and initiates appropriate nursing orders/interventions.
  • Meets the needs of participants in a timely manner.
  • Participates in the interdisciplinary team (IDT) process and collaborates with IDT members to meet the needs of participants.
  • Consistently documents all aspects of participant care, including significant changes in health status, monthly nurses’ notes and health care teaching in the medical record.
  • Participates in training and orientation of new nursing staff as assigned.
  • Assists in the delivery of other nursing services as assigned.
  • Participates in the nursing “on-call” rotation as assigned.
  • Initiates and completes falls, infection, grievance and incident reports
  • Active participant in the site specific committees.
  • Participates in the post IDT huddle and any other additional meetings when required.
  • Any additional tasks deemed necessary by the Clinical Nurse Manager and or Site Director.
  • Assumes the role of the primary nurse, floor or triage nurse per the direction of the Clinical Nurse Manager or Site Director.
  • Performs all duties in accordance with FCHP and Summit ElderCare policies and procedures.
  • Functions independently to administer medications and treatments as ordered by the provider. Functions independently in the home care nurse role. Independent in performing a nursing assessment and executing the plan of care in all settings the participant may be in.
  • Medication administration
  • Performing bladder scans, EKG, Point of Care, and glucometer testing.



Graduate of an accredited school of nursing



  • Current license as a RN in the state of Massachusetts
  • CPR and Alzheimer’s certification, or willingness to be certified within 60 days of hire, is essential.     



  • At least two years of recent experience in the direct care of adults or chronically disabled persons with at least one year caring for a frail or elderlypopulation
  • Ambulatory care or home care experience helpful.



Reliable Transportation Required.


COVID-19 Vaccination:

With the end of the Global Coronavirus COVID-19 Pandemic, Fallon Health no longer requires all employees to be vaccinated against COVID-19 except for employees who are in jobs that under state and federal laws, regulations and policies are required to be vaccinated and/or they are in Member/participant facing positions.


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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