Molina Healthcare Jobs

Job Description

Family Care and Family Care Partnership with My Choice Wisconsin

Job Summary

The Specialist, Functional Screen - MCW is responsible for completing the Long-Term Care Functional Screen (LTCFS) for MCW Family Care and Family Care Partnership members, as required, and outlined in the Wisconsin LTCFS Instructions. This includes annual rescreens, enrollment screens, change in condition screens, collateral contacts, and verifying diagnoses with physicians or SSA. Responsible for screening members in their assigned service region and surrounding areas as needed. The Dedicated Functional Screener is also responsible for participating in LTCFS quality assurance/improvement activities.

Job Duties

• Upon assignment, schedule appointments with members to complete a functional assessment in their home

• Use the Wisconsin LTCFS to gather information about each member’s functional abilities, health status, and personal and professional supports. Complete LTCFS in a collaborative manner with the member, family, his/her other informal/formal supports, and the member’s IDT. Coordinates with the IDT to ensure new enrollment, annual and change in condition screens are completed. Ensure consistency between data gathered during the functional assessment and member-specific data contained in the member’s record.

• Use spreadsheets to track and ensure adherence to LTCFS timeframes.

• Submit timely, accurate, and complete documentation in accordance with established guidelines and processes.

• Attend meetings and training as needed or required to maintain knowledge of agency processes, the long-term care functional screening tool, and/or any changes to process or the screening tool resulting from new state directives.

• Participate in quality assurance activities that ensure competence, including regular auditing of completed work.

• Maintain LTCFS certification by completing and passing WI continuing skills testing.

• Apply professional judgment in documentation by demonstrating respect for members and maintaining screen integrity when completing assessments.

• Other duties as assigned

Job Qualifications

Required Education:

• Bachelor’s degree from an accredited college or university required. Degree in health & human services, or related field preferred.

Required Experience, Knowledge, Skills, and Abilities:

• Minimum 1 year professional experience working with one of the target groups served by My Choice WI (Adults with physical or intellectual disabilities or older adults).

• Must possess a valid driver’s license, must maintain adequate auto insurance for job-related travel and ability to travel within the state of Wisconsin.

• Knowledge of public long-term care, managed care, financial & functional eligibility

• Excellent communication skills and professionalism.

• Knowledge of Excel and Word processing applications

• Ability to work effectively with others and independently.

• Ability to organize complex materials with strong attention to detail.

• Ability to read, write, comprehend, communicate, and recall complex instructions, correspondence, and memos.

• Available for daytime travel within your assigned region, and possible limited travel to other MCW counties, as needed

Required Licensure or Certification:

• A valid state of Wisconsin driver’s license, reliable transportation, and insurance are required at the time of filing application and must be maintained throughout employment

Preferred Qualifications:

• Current or past LTCFS certification preferred

• 1-3 years’ experience with LTCFS, Family Care or other Long-term care program preferred

• Experience with data management, project coordination, and training, preferred

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $17.85 - $38.69 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.