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
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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.
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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.
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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.
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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.
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Supervisors must comply with documentation and program regulations, guidelines and meet screening quota.
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Participate in and assist with All Screener Meetings, quizzes and testing.
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Collaborate on the development, process improvement and ongoing quality management of services and related materials/products.
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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:
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1+ years of experience working with one of the target groups such as adults with physical or intellectual disabilities or older adults.
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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.
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Past experience supervising or mentoring employees
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Demonstrated computer and software skills required; proficiency with Microsoft Office Suite and be able to work in and navigate through databases.
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Strong writing skills and attention to detail.
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Strong customer service skills.
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Good organizational and time management skills.
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The ability to work cooperatively as part of a team.
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The ability to work autonomously.
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Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs.
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Travel Requirements 15%
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
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Must possess a valid driver’s license, maintain adequate auto insurance for job-related travel and ability to travel throughout Wisconsin.
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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.
