Nursing Jobs in Hudson, MA
$285,000 - $310,000 / year
Overview Join a Mission-Driven Team at Fallon Health Summit ElderCare! Position: SNFist (Skilled Nursing Facilityist) – PACE Program in WORCESTER, MA Salary Range: $285,000–$310,000/year, based on skills and experience. At Fallon Health, we don’t just offer jobs—we offer purpose. As part of our Summit ElderCare PACE program , you’ll be at the forefront of a growing, innovative model of care that helps older adults live safely and independently at home. If you’re passionate about quality over quantity , enjoy working in a collaborative interdisciplinary team , and want to make a real difference in the lives of frail elders, this is the opportunity for you. Work-Life Balance: Monday–Friday, 8-hour days with a flexible schedule , and an optional administrative day with no direct patient care . Patient-centered Care: See an average of 5 -6 patients per day Team-based Culture: Work alongside a dedicated interdisciplinary team of geriatric care professionals Mentorship & Growth: Benefit from strong peer mentorship and leadership support Mission-driven Work: Help frail elders avoid nursing home placement and live with dignity in the community "PACE is the future of elder care—and Fallon Health is leading the way. If you’re looking for a career where your time, expertise, and compassion truly matter, Summit ElderCare is the place to be." About us: Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities enable us to serve our members better. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. The Summit Eldercare skilled nursing facility physician is responsible for providing high-quality, participant-centered care to patients in skilled nursing facilities (SNFs). He/she will manage medically complex, post-acute and long-term care participants residing in Skilled nursing facilities. He/she will be responsible for initial and ongoing care at the assigned SNFs, optimizing participants’ health outcomes, in coordination with the SNF and Summit Eldercare Interdisciplinary team. Responsibilities Clinical care and oversight Review and cosign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment. Perform duties including, but not limited, to admission H&P, regulatory required physician visits, medications and treatment plans review, signatures on all orders and progress notes. Manage and coordinate treatment for participants with multiple chronic medical problems, acute/arising conditions, and complex medication regimens Lead and oversee all transitions, including hospital to SNF, ensuring timely and effective care Conduct daily or scheduled rounds in assigned skilled nursing facilities (SNFs) Collaborate closely with the SNF staff i.e. nursing staff, Director of nursing, rehab team, etc. Coordinate closely with the Summit Eldercare interdisciplinary team members Participate in daily SE IDT meetings and communications as needed to ensure effective, appropriate, and coordinated care Communicate effectively with participants, caregivers, facility staff and SE IDT members regarding patient goals, treatment plans and care transitions Build and sustain trusted relationships with SNF medical directors, Directors of Nursing, and key SNF clinical leaders to enhance care consistency and collaboration between SNFs and Summit Eldercare Maintain a regular, visible presence in each assigned SNF, promoting physician accessibility and adherence to PACE principles Partner with hospitalist, SE primary care provider and other team members, to support smooth transitions of care and reduce hospital admissions and readmissions Collaborate with SE team in meeting related utilization metric and MLR goals Regulatory compliance Ensure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and documentation standards When applicable, supervise advanced practitioners following state law and CMS regulations Document all physician visits and orders in compliance with SNF EMR standards and PACE documentation requirements. Participate in grievances reviews, when applicable, in collaboration with the SE team Review and co‑sign (when required) interdisciplinary documentation to ensure accuracy and regulatory alignment. Qualifications Education: Medical degree (MD or DO) from an accredited school of medicine License/ Certifications: MD or DO licensed in Massachusetts Board Certification in Internal Medicine, Family Practice, or Geriatrics (preferred) DEA certification 1+ year experience with frail or elderly populations Passion for team-based, patient-centered care Experience: 2-3 years’ experience in post-acute care, long-term care or geriatric settings Strong clinical skills in managing complex, frail patients with multiple chronic medical problems, preferably in a skilled nursing facility setting Knowledge in Skilled Nursing Facility (SNF) regulations and standards of care preferred Excellent communication and interpersonal skills Demonstrated ability to work effectively in an interdisciplinary team model, PACE model of care preferred Proficiency in using electronic medical records (EMR) Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $285,000 to $310,000 per year , which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. 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. #P01 
$78,873.60 - $141,980.80 / year
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Exempt Hiring Range: $78,873.60 - $141,980.80 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 8:00 AM – 3:30 PM Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 35 Cost Center: 24050 - 3500 Radiology Diagnostic Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Guides patients through the healthcare system from screening through diagnosis and follow up, by assisting with access issues, developing relationships with service providers and tracking interventions and outcomes. Promotes a positive work environment which emphasizes respect to our customers, patients, patients’ families, providers, caregivers, and other departments. Serves as a clinical expert in the care of these patients. I. Major Responsibilities: 1. Facilitates the entry of patients into the diagnostic and/or treatment system and coordinates their care including family involvement. Follows the patients throughout the continuum of health care services across multiple departments. 2. Assists patients in understanding their diagnosis, treatment options, recommended follow up and resources available. 3. Utilizes nursing process to comprehensively assess the patients’ physical and psychological sta-tus. 4. Evaluates progress of patients along the continuum and is responsible for professional and per-sonal modifications along with the healthcare team as appropriate. May assist with tracking of post care patients to ensure post treatment standards of care are met along with referrals. As necessary, ensures that patients receive clinical satisfaction surveys. 5. Coordinates and participates in multidisciplinary planning conferences, collaboratively assists with the development of patient summaries for use by care team. 6. Provides patient and family education across the continuum of care and facilitates symptom management. 7. Provides access to community resources and links to support services such as: social services, nutrition services, psychologist, pastoral care, physical therapy, rehabilitation therapy, financial counseling, pharmacy, and related organizations. May coordinate and participate in patient support groups with Social Workers. 8. Assists with tracking metrics and quality indicators for diagnosing and treating promptly and ef-fectively. May assist with production of relevant quality improvement reports. 9. Develop, implement, support and/or attend related programs/workshops/seminars/support services, etc. 10. Utilization and optimization of data systems to identify and triage patients and track data out-comes. 11. May assist with calls to Clinic and perform telephone triage within the scope of practice as a li-censed registered nurse. 12. May work across multiple campuses and settings. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures, and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients, and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration. Preferred: 1. Masters Degree in Nursing. Experience/Skills: Required: 1. Minimum of 5 years nursing experience. 2. Excellent teaching, consultation, and customer service skills. 3. Excellent critical thinking skills. 4. Demonstrates leadership experience. 5. Excellent verbal and written communications skills. 6. Computer literate with knowledge of Microsoft Office products. Preferred: 1. Skilled with utilization of EMR and other software. 2. Experience with Project Management. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a patient care and office environment. ADDENDUM FOR NURSE NAVIGATOR CANCER CENTER ROLE Position Summary: Same. Major Responsibilities: Same Differences in Qualifications: License/Certification/Education: Required: 1. Breast Nurse Navigators require accreditation through NAPBC. Preferred: 1. Oncology Certification preferred unless a Breast Nurse Navigator. Experience/Skills: Required: 1. Minimum of 5 years oncology experience in specific disease site (breast, lung, GI, etc) and post-surgical nursing. ADDENDUM FOR NURSE NAVIGATOR PALLIATIVE CARE ROLE Position Summary: Same. Major Responsibilities: Same Differences in Qualifications: License/Certification/Education: Preferred: 1. Palliative Care Certification. Experience/Skills: Preferred: 1. Previous Palliative Care experience. ADDENDUM FOR NURSE NAVIGATOR ORTHOPEDIC CARE ROLE Position Summary: Same. Major Responsibilities – Differences if an APP is hired: 1. Responds to patient/family/provider issues and concerns in timely manner, including but not limited to writing prescriptions, interactions with post-acute care providers, obtaining imaging studies to identify possible complications, rounding on patient floors, and responding to tasks and triaging patient care or provider issues etc. 2. Develops relationships with post-acute care providers, including SNF, home health, inpatient rehab. Monitors patients' length of stay, condition, and is the point of contact for patient, family, and providers to assist in ED and readmission avoidance. 3. Assists in the development of clinical pathways and consistency of the care provided by our providers. Differences in Qualifications for All Staff: Experience/Skills: Preferred: 1. 2 years of previous Orthopedic care experience. 2. Previous experience with risk-based episodes of care. ADDENDUM FOR NURSE NAVIGATOR ENDOSCOPY (BUNDLE) CARE ROLE Position Summary: Same. Major Responsibilities – Differences if an APP is hired: 1. Responds to patient/family/provider issues and concerns in timely manner, including but not limited to writing prescriptions, interactions with post-acute care providers, obtaining imaging studies to identify possible complications, rounding on patient floors, and responding to tasks and triaging patient care or provider issues etc. 2. Develops relationships with post-acute care providers, including SNF, home health, inpatient rehab. Monitors patients' length of stay, condition, and is the point of contact for patient, family and providers to assist in ED and readmission avoidance. 3. Assists in the development of clinical pathways and consistency of the care provided by our providers. Differences in Qualifications for All Staff: Experience/Skills: Preferred: 1. 2 years of previous Endoscopy care experience. 2. Previous experience with risk-based episodes of care. ADDENDUM FOR NURSE NAVIGATOR NEUROLOGY CLINIC ROLE Position Summary: Same. Major Responsibilities: Same. Differences in Qualifications: License/Certification/Education: Preferred: 1. Certification in Neurosciences. 2. Ambulatory Nurse or other ANCC certification. Experience/Skills: Preferred: 1. Experience in acute care and/or other Neurological disease specific conditions. ADDENDUM FOR NURSE NAVIGATOR STROKE ROLE Position Summary: Same. Major Responsibilities: Same. Differences in Qualifications: License/Certification/Education: Required: 1. Must have a minimum of eight hours of education per year on cerebrovascular disease and stroke. 2. Must obtain NIHSS and mRS certification within one month after start date. 3. Must obtain SCRN certification within 18 months after start date. Experience/Skills: Preferred: 1. Experience in acute care and/or other Neurological disease specific conditions. 2. Ambulatory Nurse or other ANCC certification. ADDENDUM FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ROLE Position Summary: Same. Major Responsibilities: Same. Differences in Qualifications License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration. Preferred: 1. Master’s degree. Experience/Skills: Required: 1. Experience working with patients with COPD and asthma diagnoses, educating them in disease management, self-education in medication management and lifestyle changes. 2. Experience helping patients navigate the health care system in managing anxiety and depression related to chronic pulmonary disease. Preferred: 1. Experience triaging patients with pulmonary exacerbations (across post-acute care settings) with PCPs and pulmonologists to avoid ED visits and hospitalizations or readmissions. 2. Familiarity with Better Breathers Clubs to support COPD patients post discharge from hospital or post-acute SNF or inpatient rehab facility to help with ongoing education and emotional support in the community. Familiarity with smoking cessation programs and group support options, net-working opportunities for patients living with chronic lung disease. 3. Familiarity helping adults better manage their asthma by using programs such as Breathe Well, Live Well: The Guide to Managing Asthma at Home and Work as a tool to educate and empower patients to take control of their asthma. ADDENDUM FOR PRIMARY CARE FIRST AND POST-ACUTE CARE ROLE Position Summary: Same. Major Responsibilities Same. Differences in Qualifications License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration. Preferred: 1. Master’s degree. Experience/Skills: Required: 1. Experience working with Medicare or attributed PCF / UMMACO beneficiaries with a mix of behavioral health conditions and multiple chronic conditions, assisting with medication review and reconciliation as they transition from one care setting to the next, educating them in disease management, self-education in medication management, recommending referrals to SUD/OUD addiction coaching or bridging clinic as needed 2. Experience helping patients navigate the health care system to obtain appropriate behavioral health services, psychiatric consults, access to therapy, guidance in managing anxiety and depression related to chronic disease (e.g. CHF, CKD), provide guidance in end-of-life care, recommend referrals to palliative care and hospice based on eligibility and suitability Preferred: 1. Experience triaging patients with multiple BH / SUD and medical co-morbidities across acute and post-acute care settings with PCPs and specialists (e.g. cardiologists, nephrologists, endocrinologists, urologists, neurologists, psychiatrists, therapists) to avoid ED visits and hospitalizations or readmissions 2. Provides education, information, and referral to specialized intervention programs, including but not limited to substance abuse detoxification, psychiatry consults, cardiac and pulmonary rehabilitation and wellness and prevention services. Advocates and works to resolve problems of patient access to these services. Follows up with patients to complete and evaluate social service referrals, working with medical and mental health providers as well as community service agencies to develop alternate plans when indicated 3. Establishes and maintains effective working relationships with community resources and agencies (HHAs, Hospices, community-based palliative care programs, mental health clinics, other CBOs) through telephone, electronic and/or direct contact. ADDENDUM FOR NURSE NAVIGATOR TB/HARM REDUCTION ROLE – OP NORTH AREA Position Summary: Same. Major Responsibilities Same Differences in Qualifications License/Certification/Education: Preferred: 1. Experience in community settings treating TB, HIV, or Sexual Transmitted infections. Experience/Skills: Required: 1. Same. ADDENDUM FOR NURSE NAVIGATOR IN NUCLEAR MEDICINE AREA Position Summary: Guides patients through the healthcare system for Nuclear Theranostics within Nuclear Medicine. Provides guidance for treatment, support, and follow up, by assisting with access issues, developing relationships with service providers and tracking interventions and outcomes. Promotes a positive work environment which emphasizes respect to our customers, patients, patients’ families, providers, caregivers, and other departments. Serves as a clinical expert in the care of these patients. Major Responsibilities 1. Point of contact for Theranostics. Responsible for coordination of care with other specialties such as Radiation Therapy, Radiation Oncology, and Cancer Center. 2. Facilitates the entry of patients into the diagnostic and/or treatment system and coordinates their care including family involvement. Follows the patients throughout the continuum of health care services across multiple departments, as it pertains to the theranostic treatment plan. 3. Responsible for Prior Authorization of treatment plan and associated imaging. 4. Orders radiopharmaceutical directly through supplier and communicate any changes as appropriate. 5. Maintain radiation safety training/awareness and triage phone calls regarding concern for exposure/contamination. 6. Support a training program for caretakers (internal and external) who need to be aware of these patients in our community. Differences in Qualifications License/Certification/Education: Same Experience/Skills: Required: Same. Preferred: 1. Previous experience in a Nurse Navigator position. 2. Previous clinical experience in Oncology. 3. Knowledge of radiology/radiation safety. ADDENDUM FOR NURSE NAVIGATOR IN HEART FAILURE DISEASE MANAGEMENT AND STRUCTURAL HEART PROGRAM Position Summary: The Nurse Navigator is a member of a team that specializes in managing advanced heart failure/structural heart patients and the role is to support the medical team in providing highly specialized care . Works with inpatient Heart Failure and Structural Heart Team to identify patients and includes coordination of patient care across the continuum of care including: inpatient, outpatient, LTC, hospice, palliative care, and home care. Major Responsibilities – Same except for these additions: 1. Responsible for remote monitoring surveillance (HeartLogic and CardioMEMS) as necessary. 2. Develops and maintains patient database accurately, and able to interpret and analyze data to spot trends in care. 3. Provides education to staff and affiliated providers about Heart Failure Disease Management and Structural Heart Program. Differences in Qualifications: Experience/Skills: Required: 1. Minimum of 3 years of Cardiology RN experience. 2. Ability to work in a strong team environment. 3. Excellent assessment and documentation skills. Proficient and accurate in documentation. Preferred: 1. Previous experience with Epic. ADDENDUM FOR NURSE NAVIGATOR IN INTERVENTIONAL RADIOLOGY Position Summary: Same. Major Responsibilities, other than responsibilities listed in main part of JD. 1. Assist with optimization of patient’s pre-procedure including medication review/holds, chart review, pre-procedure clearance, and post-procedure navigation. Differences in Qualifications License/Certification/Education: None Experience/Skills: Required: 1. Minimum one year experience in surgical/procedural service line (eg. IR, vascular surgery). ADDENDUM FOR NURSE NAVIGATOR RADIOLOGY BREAST CENTER Position Summary: Functions as an extension of the Radiologists within the Mammography division by assisting with process tasks, regulatory data entry and monitoring, and other duties to assist with Provider workflow. Major Responsibilities: 1. Assist with advanced imaging pre appointment coordination and patient Medical Record evaluation to determine appropriateness for procedure. Differences in Qualifications: Experience/Skills: Preferred: 1. Previous experience in a Nurse Navigator position. . 2. Radiology background. 3. Experience with Breast Imaging or Breast Oncology Care. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
