Specialist, Functional Screening (Milwaukee, WI)
Molina Healthcare of Illinois
Hybrid Long-Term Care Functional Screener
The role is a hybrid position with travel to member locations assigned and meeting at Molina office once a month.
The candidate must be located at one of the below Wisconsin (WI) locations:
Spooner (Washington County), Park Falls (Price County), Menomonie (Dunn County), New Auburn / Eau Claire (Chippewa county), Arcadia (Trempeauleau county), Tomah (Monroe county), Reedsburg (Sauk county), La Crosse (Lax County), Viroquoa (Vernon county), Bloomington / Prairie du Chien (Grant county), Madison/ Verona (Dane county).
Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties:
- Schedules appointments with members to complete home based long-term care functional screen (LTCFS) assessments.
- Uses the Wisconsin LTCFS to gather information about member functional abilities, health status, and personal/professional supports.
- Completes the LTCFS in a collaborative manner with the member, family, other member supports, and the member interdisciplinary care team (ICT).
- Coordinates with member ICT to ensure new enrollment, annual, and change in member condition screens are completed.
- Ensures consistency between data gathered during the functional assessment and member-specific data contained in the member record.
- Uses spreadsheets to track and ensure adherence to LTCFS timeframes.
- Submits timely, accurate, and complete documentation in accordance with established guidelines and processes.
- Attends meetings and training as needed or required to maintain knowledge of agency processes, the LTCFS tool, and/or any changes to process or the screening tool resulting from new state directives.
- Participates in quality assurance activities that ensure competence including regular auditing of completed work.
- Maintains LTCFS certification by completing and passing Wisconsin continuing skills testing (CST).
- Applies professional judgment in documentation - demonstrating respect for members and maintaining screen integrity when completing assessments.
- Local travel may be required (based upon state/contractual requirements).
Required Qualifications:
- At least 1 year experience in health care supporting adults with physical/intellectual disabilities or the frail elderly, or equivalent combination of relevant education and experience.
- Long-term functional screening (LTCFS) certification.
- A bachelor's degree in a social work, human services or health-related field, or Registered Nurse (RN) or CNA or LPN or LVN license may be required for certain states (dependent upon state/contractual requirements). If licensed, license must be active and unrestricted.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
- Ability to support staff professional development, meet performance quotas and balance team dynamics and independent responsibilities.
- Experience with data management, project coordination, and training.
- Ability to explain and teach complex and detailed material in group and individual settings.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications:
- Current or former certification to conduct/administer adult long-term care functional screening (LTCFS) in the state of Wisconsin.
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