Specialist, Functional Screening (Wisconsin - Multiple counties)
About the role
The role is a hybrid position requiring travel to member locations and monthly meetings at the Molina office. The candidate must be based in one of the following Wisconsin locations: Spooner (Washington County), Park Falls (Price County), Menomonie (Dunn County), New Auburn/Eau Claire (Chippewa County), Arcadia (Trempeauleau County), Tomah (Monroe County), Reedsburg (Sauk County), La Crosse (La Crosse County), Viroqua (Vernon County), Bloomington/Prairie du Chien (Grant County), Madison/Verona (Dane County). The incumbent provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities, contributing to Molina’s strategy for quality, cost‑effective member care.
Responsibilities
- Schedule appointments with members to complete home‑based long‑term care functional screen (LTCFS) assessments.
- Use the Wisconsin LTCFS to gather information about member functional abilities, health status, and personal/professional supports.
- Complete the LTCFS collaboratively with the member, family, other supports, and the member’s interdisciplinary care team (ICT).
- Coordinate with the member ICT 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 in the member record.
- Use spreadsheets to track and ensure adherence to LTCFS timeframes.
- Submit timely, accurate, and complete documentation per established guidelines.
- Attend meetings and training as needed to maintain knowledge of agency processes, the LTCFS tool, and any changes from state directives.
- Participate in quality assurance activities, including regular auditing of completed work.
- Maintain LTCFS certification by completing and passing Wisconsin continuing skills testing (CST).
- Apply professional judgment in documentation, demonstrating respect for members and maintaining screen integrity.
- Perform local travel as required by state or contractual requirements.
Requirements
- At least 1 year of experience in health care supporting adults with physical/intellectual disabilities or the frail elderly, or an equivalent combination of relevant education and experience.
- Long‑term functional screening (LTCFS) certification.
- A bachelor’s degree in social work, human services, or a health‑related field, or an RN, CNA, LPN, or LVN license (required for certain states per contract). If licensed, the license must be active and unrestricted.
- Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel.
- Ability to support staff professional development, meet performance quotas, and balance team dynamics with independent responsibilities.
- Experience with data management, project coordination, and training.
- Ability to explain and teach complex material in group and individual settings.
- Excellent verbal and written communication skills.
- Proficiency with Microsoft Office suite and applicable software programs.
Preferred Qualifications
- Current or former certification to conduct/administer adult long‑term care functional screening (LTCFS) in the state of Wisconsin.
Benefits
Molina Healthcare offers a competitive benefits and compensation package.
Pay
Pay Range: $19.84 - $38.69 per hour. Actual compensation may vary based on geographic location, work experience, education, and skill level.