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

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

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Pay Range : $21.82 - $42.55 / HOURLY