Dodgeville, WI, 53595, USA
17 days ago
Lead Specialist, Functional Screening - Field travel in Iowa and Richland County, WI
JOB DESCRIPTION Job Summary Provides lead level 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 • Monitors quality and accuracy of long-term care screening LTCFS processes including enrollment, annual screening, rescreen, and edits completed by certified functional screeners in screening regions. • Tracks and ensures adherence to LTCFS timeframes. • Reviews and tracks level of care and condition changes for members, including follow-up consultation with staff and managed care organization enrollment, eligibility, and fiscal staff as appropriate. • Develops, implements, and monitors LTCFS training for new staff, existing staff, and mandatory adult screener continuing skills testing. • Supports staff in multiple geographic service regions. • Informs certified screeners of changes to LTCFS format and instructions. • Coordinates and facilitates annual audits as well as ongoing quality assurance auditing to meet contractual requirements. • Implements corrective action plans as required to address screener certification or qualification concerns. • Conducts rescreens for members as needed for level of care determination or training purposes, allowing new/existing screeners to shadow lead screener and makes occasional home visits for this purpose. • Responds to expedited requests by senior leadership, care management oversight division, and applicable regulators to review, audit, and report back on member screens. • Maintains LTCFS certification by completing and passing required continuing skills testing. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 3 years experience in health care, including at least 1 year of experience supporting adults with physical/intellectual disabilities or the frail elderly, and 1 year experience in a long-term care program, 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) licensure 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. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp Pay Range: $21.82 - $42.55 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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