Overview
Long Term Care Functional Screener Jobs in Madison, WI at Humana
Full Job Description
Become a part of our caring community and help us put health first
Humana/iCare is seeking a Long Term Care Functional Screener to join the growing team in the Family Care Partnership (FCP) program. The Long Term Care Functional Screener (LTCFS) is responsible for conducting WI Adult Long Term Care Functional Rescreens for re-determination of members functional program eligibility. The Screener is responsible for screening members within the iCare Family Care Partnership service areas, as well as participate in all iCare and WI State LTCFS required compliance and quality assurance activities. Share your talents and develop your skills all while doing your part to improve the lives of others.
Essential Duties and Responsibilities:
Coordinate appointments with members or legal representative to complete Annual and Enrollment redetermination of functional eligibility within member’s home; conduct rescreens due to member change in functional abilities for redetermination of eligibility as identified by Interdisciplinary Team (IDT).
Utilize established methodology of the Wisconsin LTCFS process to collect member-centered data regarding functional abilities, health status and needs-based use of personal and professional 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 IDT to ensure all assigned LTCFS rescreens are completed within the required time frame.
Submit information collected during face-to face interview and collaborative verification into WI State internet-based program while maintaining compliance of state mandated timelines & appropriate professional utilization of LTCFS Instruction Manual.
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.
Provide appropriate notice of Member Rights, in accordance with contractual requirements, to members who experience a change in level of care that may impact 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 via completion of WI biannual Continuing Skills Test.
Use your skills to make an impact
Required Qualifications:
Bachelor of Arts or Science degree or more advanced degree in a health or human services related field (i.e., social work, rehabilitation, psychology), or have a license to practice as a registered nurse in Wisconsin.
Minimum of one (1) year experience working with at least one of the Family Care Partnership target group populations: Frail Elder, Adults with physical disability, or intellectual/developmental disability.
Knowledge of public long-term care, managed care, & functional eligibility.
Available for daytime travel within all FCP iCare service area(s): Dane and Sauk Counties.
Long Term Care Functional Screener (LTCFS) Required Qualifications
Must be certified as WI Adult Long Term Care Functional ScreenerORIf you are not currently certified, you must pass the Adult Long-term Care Functional Screen certification modules (80% …
Title: Long Term Care Functional Screener
Company: Humana
Location: Madison, WI
Category:
