Supv, Elig. & Screening

Job Description

Job Summary

The Supv, Eligibility & Screening is responsible for providing day to day supervision and leadership to the Eligibility Screeners. The Supervisor assists with training, support, guidance, and the on-going development of their Eligibility Screening team and acts in a consulting capacity to other key stakeholders.

Job Duties

• Support, train, and supervise Eligibility Screeners, assist in coordinating the hiring and training for new Eligibility Screeners, conduct check-ins with team members, provide feedback and make disciplinary decisions in regards to Eligibility Screeners, approve PTO and timesheets and ensure ongoing compliance and quality of Eligibility Screeners’ work.
• Assist in problem solving and decision making related to screens such as participant or member-related issues, adverse eligibility findings, timing of screens, coordinating screens with moves and discharges or other issues that may arise.
• Attend meetings to act as a subject matter expert and act in a consulting capacity to key stakeholders in regards to the Long Term Care Functional Screen (LTC-FS) program and also attend and facilitate Fair Hearings related to functional ineligibility.
• Complete the Adult LTC-FS as required and outlined in the Wisconsin Adult LTC-FS Instructions. This includes completing collateral contacts to verify screen findings with internal and external stakeholders, and verifying diagnosis information with physicians and or SSA.
• Supervisors must comply with documentation and program regulations, guidelines and meet screening quota.
• Participate in and assist with All Screener Meetings, quizzes and testing.
• Collaborate on the development, process improvement and ongoing quality management of services and related materials/products.
• As requested, provide data reports and complete other duties as assigned
  
  

Job Qualifications

REQUIRED EDUCATION:

Bachelor of Arts or Science degree or more advanced degree in a health or human services related field (e.g. social work, psychology) or graduate from an Accredited School of Nursing.

Required Experience/Knowledge, Skills & Abilities

• 1 years of experience working with one of the target groups such as adults with physical or intellectual disabilities or older adults.
• Must be currently certified to conduct/administer the Adult Long Term Care Functional Screens or pass the Wisconsin Adult Long-term Care Functional Screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener.
• Past experience supervising or mentoring employees
• Demonstrated computer and software skills required; proficiency with Microsoft Office Suite and be able to work in and navigate through databases.
• Strong writing skills and attention to detail.
• Strong customer service skills.
• Good organizational and time management skills.
• The ability to work cooperatively as part of a team.
• The ability to work autonomously.
• Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs.
• Travel Requirements 15%
  
  

Required License, Certification, Association

• Must possess a valid driver’s license, maintain adequate auto insurance for job-related travel and ability to travel throughout Wisconsin.
• If a graduate from an Accredited School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing (RN) licence in good standing.
  
  

Preferred License, Certification, Association

Currently or formerly certified to conduct/administer the Adult Long Term Care Functional Screens

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: $49,930 - $97,363 / ANNUAL

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