Long Term Care Functional Screener- Milwaukee

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 Milwaukee County team in the Family Care Partnership (FCP) program. The Functional Screener is responsible for completing the Long Term Care Functional Screen (LTCFS) for iCare’s Family Care Partnership members, as required and outlined in the Wisconsin LTCFS Instructions. 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).
• Minimum of one (1) year experience working with one of the Family Care Partnership Target group population: Frail Elderly, Adults with Developmental/Intellectual, or Physical disabilities, or have a license to practice as a registered nurse in Wisconsin.
• Knowledge of public long-term care, managed care, & …