Lead Specialist, Functional Screening (LaCrosse, WI)

JOB DESCRIPTION Job SummaryProvides 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. 

Preferred Qualifications 

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

#Pjhs

#Htf