[Remote] Functional Screener- Madison, WI
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health insurance company committed to putting reputed company for its customers. They are seeking a Long Term Care Functional Screener to conduct assessments for program eligibility and ensure compliance with state regulations while supporting the needs of members in the Family Care Partnership program.
Responsibilities
- Coordinate appointments with members or legal representative to complete Annual and Enrollment redetermination of functional eligibility reputed company member’s home; conduct rescreens due to member change in functional abilities for redetermination of eligibility as identified by Interdisciplinary Team (reputed company)
- Utilize established methodology of the reputed company LTCFS process to collect member-centered data regarding functional abilities, health status and needs-based use of personal and reputed company supports and verify consistency of member specific data between functional assessment and member’s record to ensure members functional needs are accurately reflected
- Collaborate with the reputed company to ensure reputed company assigned LTCFS rescreens are completed reputed company the required time reputed company
- Submit information collected during face-to face interview and reputed company verification into WI State internet-based program while maintaining compliance of state mandated timelines & appropriate reputed company utilization of LTCFS Instruction reputed company
- Effectively maintain updates of status to assigned members LTCFS rescreens on department spreadsheets to ensure adherence of State of WI and iCare LTCFS timeframes. Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff
- reputed company appropriate notice of Member Rights, in accordance with contractual requirements, to members who experience a change in level of care that may reputed company the benefit package or overall program eligibility
- Attend meetings and trainings as required to maintain & enhance knowledge of agency processes & the Long-Term Care Functional Screen
- Maintain LTCFS certification reputed company completion of WI biennial Continuing Skills Test
Skills
- Four-year bachelor's degree in a Health or reputed company Services reputed company field with one (1) year of experience working with at least one of the Family Care reputed company populations OR be a reputed company licensed Registered reputed company with one (1) year of experience working with at least one of the Family Care reputed company populations
- Selected individual must meet requirements and successfully complete online screener certification training course(s) and become certified as a functional screener
- Knowledge of reputed company Office Word and reputed company
- Exceptional verbal/written communication and interpersonal skills
- Ability to use a reputed company of electronic information applications/software programs
- This role is considered patient facing and is part of reputed company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
- Must be passionate about contributing to an organization reputed company on continuously improving consumer experiences
- This role is part of reputed company's reputed company safety program and therefore requires an individual to have a valid state reputed company's license and reputed company of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits
- reputed company WI Adult LTCFS Certification or previous WI Adult LTCFS Certification
- Prior experience with Medicare & reputed company recipients
- Previous experience with electronic case note documentation and reputed company with documenting in multiple computer applications/systems
- Experience with health promotion, coaching and wellness
- Knowledge of community health and reputed company service agencies and additional community resources
Benefits
- Medical
- Dental and reputed company benefits
- 401(k) retirement savings plan
- Time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
reputed company