My Choice Wisconsin is proud to offer a rewarding work environment as an employer of choice. We are looking to hire an Eligibility Screener to work within Milwaukee County. If you want to make a difference in the lives of our members daily this may be the opportunity for you!
*Applicants for this role must be able to physically meet with members in Milwaukee County and and reside within Wisconsin.*
Who We Are
Caring Starts Here where we embrace the whole person. We are Wisconsin's largest Managed Care Organization (MCO) that serves seniors and adults with disabilities, making a difference in over 50 counties across the state. My Choice Wisconsin seeks employees that desire to utilize their experience and skills to add value to the organization, and continuously work to learn and grow. With the helping mindset of always keeping our members in mind, My Choice Wisconsin has a strong culture of innovation and collaboration.
What We Offer
Schedule flexibility to complete screens in the community and work from home as desired upon completion of training
Highly supportive team environment
Comprehensive training process to set you up for success
Leadership and growth opportunities throughout the department, My Choice Wisconsin, and Molina Healthcare
Great benefits including 18 days of PTO, paid holidays, a floating holiday, a generous 401(k) program, and insurance programs
What Eligibility Screener Does
Complete around thirty-five Long Term Care Functional Screens (LTCFS) monthly in a collaborative manner with the member, family, informal/formal supports, and the member's Interdisciplinary Team (IDT) including their Care Manager and RN Care Manager.
Frequent travel in assigned region for member visits within their homes.
Use the Wisconsin LTCFS to gather information about member functional abilities, health status, and personal and professional supports.
Coordinate with the IDT to ensure new enrollment, annual, and change in condition screens are completed as appropriate.
Ensure consistency between data gathered during the functional assessment and member-specific data contained in the member's record.
Submit timely, accurate, and complete documentation in accordance with established guidelines and processes.
Attend meetings and trainings to maintain knowledge of agency processes, the long-term care functional screening tool, and/or any changes to process or the screening tool resulting from new state directives.
Participate in quality assurance activities that ensure competence, including regular auditing of completed work.
Maintain LTCFS certification by completing and passing WI continuing skills testing.
Apply good professional judgment in documentation by demonstrating respect for members and maintaining screen integrity when completing assessments.
Participate and provide input during department process improvement and planning discussions.
Other duties as assigned.
Minimum Qualifications:
A completed Bachelor's degree.
One or more years of paid experience working with our member population of adults who are intellectually/developmentally disabled, physically disabled, and/or the frail elderly.
A valid Driver's License, access to a reliable vehicle, and automobile insurance coverage at time of application and throughout employment.
Preferred Qualifications:
Bachelor's degree in health & human services, or related field preferred.
1 or more years' experience with LTCFS, Family Care or other Long-term care program preferred.
Current or past LTCFS certification preferred.
Experience with data management, project coordination, and training, preferred.
Knowledge of public long-term care, managed care, financial & functional eligibility.
Molina Healthcare offers competitive benefits and compensation. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $18.04 - $35.17/hr
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
