Dietician Location US MA Dartmouth Job ID 7555 # Positions 1 Category Wellness Overview COMING SOON Fallon Health Opens New Summit Eldercare Site in Dartmouth!! About us 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, we deliver equitable, high quality

Under the direction of the Supervisor or Manager, the Enrollment & Billing Operations Representative III supports Fallon Health's mission, vision and values by providing and maintaining timely and accurate enrollment and billing information. Documents pertinent information enabling tracking of group/subscriber/member and eligibility and adheres to internal and external SL

Support Staff Supervisor Location US MA Dartmouth Job ID 7552 # Positions 1 Category Administrative/Clerical Overview About us 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, we deliver equitable, high quality coordinated care and are continually rated

The SE Secretary/Receptionist has overall responsibility for all daily front office functions. Ability to direct all calls to the appropriate department and staff and obtain and convey messages. Ability to handle a multi line phone system efficiently with comparison and calmness. Responsible for the maintenance of records of transportation for the members of the program a

This position requires that the Outreach Account Executive achieves personal referral/sales/outreach goals for the Summit Elder Care program. Manages a territory and group of referral source accounts, providing regular follow up and overcoming barriers with each account to obtain referrals. Primary Job Responsibilities Relationship Building Creates productive and collabor

Enrollment Coordinator RN Location US MA Dartmouth Job ID 7557 # Positions 1 Category Care Coordination Overview About us 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, we deliver equitable, high quality coordinated care and are continually rated amon

Health Aide Supervisor Location US MA Springfield Job ID 7482 # Positions 1 Category Other Overview About us 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, we deliver equitable, high quality coordinated care and are continually rated among the nation'

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with participants and caregivers to address each individual's specific needs. This team of professionals is an essential component of t

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. Responsibilities Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

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. Responsibilities Primary job responsibilities Reviews and implements Provider's orders . Conducts nursing assessments according to policy guidelines including physical, psychosocial, behav

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of Coverage, departmental policies and procedures, and r

Responsible for working with pre enrollees, participants, caregivers, staff and external regulatory staff (such as Mass Health) and NaviCare NHC pre enrollees to assure that enrollment in the Medicare and Medicaid systems is accomplished accurately and efficiently with appropriate information entered in the FCHP systems. Also, responsible to ensure recertifications are su

The Care Coordinator or Navigator partners with Fallon Health Care Team staff and other providers to communicate at all times what is occurring with the member and their status. The Care Coordinator or Navigator seeks to establish telephonic and face to face (depending upon product and circumstance) relationships with the member/caregiver(s) and provider partners to bette