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Specialist, Functional Screening - Hybrid - Milwaukee, WI

Molina Healthcare of Illinois

Job Title

Job SummaryProvides 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) 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.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Vacancy posted 2 days ago
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