Overview

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:

The Behavioral Health Clinician provides Behavioral Health services in support of SE participants’ health and well-being, and to promote effective caregiving and self-care skills in participants’ caregivers and SE staff.

Responsibilities

Job Responsibilities:

• Provides behavioral health support to Summit participants as referred by the IDT:
  • Conducts psychosocial, behavioral screenings and assessments of program participants and writes professional reports in the EMR
  • Participates in the development of an interdisciplinary treatment plan appropriate to participant’s goals and level of functioning, mental health or cognitive status, and care needs.
  • Makes recommendations for appropriate treatment to community MH specialists.
  • Collaborates with Community MH specialists in sharing appropriate information to support the most effective care for individual PACE participants.
  • Provides direct BH treatment as appropriate via individual counseling/coaching, and facilitates psychotherapeutic and psychoeducational groups within the evidence-based, integrated primary care protocols of the Summit Eldercare BH program.
• Acts as consultant to the IDT and primary care team in supporting participant behavior change, recommending interventions and collaborating with team members in family meetings, discharge planning meetings and care planning, Reviewing service requests and re-authorizations for community-based specialty mental health services:
  • Participates in IDT meetings
  • Facilitates BH Rounds
  • Provides impromptu “curb-side” consultation with team members
  • Attends acute-care or rehab discharge planning meetings as needed
  • Attends care planning meetings as needed and makes BH recommendations for inclusion in the PACE care plan
  • Develops and implements psychosocial interventions appropriate to primary care settings.
  • Receives and reviews updates from community-based psychotherapists for medical necessity
  • Makes recommendations to the IDT regarding appropriateness of initial referrals to psychotherapy and on progress of ongoing psychotherapy
  • Facilitates case referrals for team consultation to Summit psychiatry consult program
• Provides education and training:
  • Conducts trainings on BH topics and skills related to PACE population in general and site-specific population for SE personnel within the paradigm of Summit Eldercare BH program.
  • Provides education to IDT members and other staff related to specific participants’ BH needs and general BH principles.
• Evaluates and provides support to caregivers to improve care giving:
  • Meets with family caregivers as needed to support participant care
  • Participates in family meetings when requested or otherwise appropriate

Qualifications

Education:

Masters Degree in Counseling Psychology, Clinical Psychology, Applied Psychology, or Mental Health, Social Work, or equivalent

Licenses/Certifications:

• Appropriate Massachusetts Licensure
• May consider application if eligible for Licensure, pending post-Masters’ supervised clinical hours

Experience:

• Experience in providing behavioral health services in outpatient primary care medical office or similar healthcare settings helpful.
• At least one year of experience working with older adults.
• Experience with Cognitive-Behavioral, Motivational Interviewing, Solution-Focused, Transtheoretical, and InterPersonal Theory techniques for promoting behavior change.
• Understanding of the physiological, psychological and neuropsychological contributors to behavior in diverse clinical population.
• Ability to use clinical judgment to provide appropriate and effective treatment
• Ability to diplomatically maintain client confidentiality and HIPPA standards when including family members and caregivers in discussions or consults
• Able to work as a team member.

• Access to reliable transportation to carry out community assignments is required

• Excellent written and verbal communication skills
• Excellent organization and time management skills and ability to complete record-keeping in a timely manner required.
• Facile with computer applications including an Electronic Medical Record.

Fallon Health Vaccination Requirements:

To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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.