[3 Days Left] Lead Specialist, Functional Screen - MCW (Field travel in Dane County, WI)
Company: Molina Healthcare
Location: Madison
Posted on: July 17, 2025
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Job Description:
Job Description Job Summary The Lead Specialist, Functional
Screen - MCW manages all facets of the Long-Term Care Functional
Screen (LTCFS). The Lead Screener ensures accurate functional
eligibility determination and rate setting of program members
through continuous quality improvement and quality assurance
monitoring of Certified Functional Screeners. Job Duties - Monitor
quality and accuracy of Long-Term Care Functional Screens
(enrollment, annual, rescreen, edit) completed by the Certified
Functional Screeners in IDT model screening regions. - Track and
ensure adherence to LTCFS timeframes. - Review and track Level of
Care and condition changes for members, including follow-up
consultation with IDT staff and MCO Enrollment/Eligibility/Fiscal
staff as appropriate. - Develop, implement, and monitor LTCFS
training for new staff, existing staff, Care Management Oversight
Division, and the mandatory Department of Health Services (DHS)
Adult Screener Continuing Skills Testing. - Support staff in
multiple geographic service regions - Inform Certified Screeners of
changes to LTCFS format and instructions. Coordinate and facilitate
annual MetaStar and WI Department of Health Service Audits as well
as ongoing Quality Assurance auditing to meet DHS contract
requirements. - Implement corrective action plans, as required, to
address screener certification or qualification concerns. - Conduct
rescreens for members as needed for Level of Care determination or
for training purposes, allowing new/existing screeners to shadow a
Lead Screener. Makes occasional home visits for this purpose. -
Respond to expedited requests by senior leadership, Care Management
Oversight Division, MetaStar, DHS to review, audit, and report back
on member screens. - Other duties as assigned. Job Qualifications
Required Education: Bachelor’s degree from an accredited college or
university in health & human services, or related field required.
Required Experience, Knowledge, Skills, and Abilities: - LTCFS
Certification required, with 1-3 years LTCFS, Family Care or other
Long-Term Care program. - Leadership skills to maximize staff
professional development, meet performance quotas, and balance team
with independent responsibilities. - Experience with data
management, project coordination, and training required. - Ability
to explain and teach complex and detailed material in group and
individual settings. Required Licensure or Certification: - LTCFS
Certification required, with 1-3 years LTCFS, Family Care or other
Long-Term Care program. - Valid state of Wisconsin driver’s
license, reliable transportation, and insurance are required at the
time of filing application and must be maintained throughout
employment. 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. PJCorp HTF Pay Range: $21.82 - $42.55 /
HOURLY *Actual compensation may vary from posting based on
geographic location, work experience, education and/or skill
level.
Keywords: Molina Healthcare, Palatine , [3 Days Left] Lead Specialist, Functional Screen - MCW (Field travel in Dane County, WI), Healthcare , Madison, Illinois
