Lead Specialist, Functional Screening - Dodgeville - Molina Healthcare

    Molina Healthcare
    Molina Healthcare Dodgeville

    6 hours ago

    Description

    JOB DESCRIPTION Job Summary

    You can get further details about the nature of this opening, and what is expected from applicants, by reading the below.

    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. xhmxlyz Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

    #PJCorp

    Pay Range: $ $42.55 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    PDN-a11c6212-8f0f-4d94-8d8b-ac0c36c23a4f
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