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Certified Screen Specialist

Requisition Number 18-0168
Post Date 7/6/2018
Title Certified Screen Specialist
Application Deadline Date 7/13/2018
Emphasis None
City Sparta
State WI
Description Inclusa, Inc. is seeking talent to embark on a new journey with our team! We are looking for a Certified Screen Specialist; we are looking for YOU!
  • This position will be based in our Sparta office and supporting the local and surrounding counties. Travel between those areas are expected on a regular basis.
We promote a culture of coaching to success. Your professional development is viewed as paramount to our growth and reputation. We strive to see you succeed and grow, both personally and professionally. In addition to working in a team focused and collaborative
work environment, you would be offered robust benefits options.
  • Career Development ‚ You will receive personalized career development and mentoring to maximize your potential.
  • Scheduling Balance ‚ Hours that allow for a greater work / life balance. We are Monday ‚ Friday! Work from office and home scheduling flexibility too!
  • Paid Time Off / Holidays ‚ Extensive paid time off. Accrue 13 days of PTO in your first year plus 10 paid holidays.
  • Comprehensive Benefits ‚ Includes medical, vision, and dental insurance. Short term and long-term disability covered 100% by Inclusa.
  • Financial Perks ‚ The 401K plan is 100% matched up to 4%.
  • Our Members ‚ The biggest benefit of all is that you are making a difference by supporting members in your local community.
Under supervision of the assigned manager, the Certified Screen Specialist uses a tool designed by the State Department of Health Services (DHS) to assess functional status, level of care, and ongoing eligibility of Family Care members.
Duties include:
(1) Scheduling and completion of functional assessments within the assigned service region in the most cost-effective and efficient manner possible.
(2) Review of internal documentation to ensure consistency between data gathered during functional assessments and member-specific information contained in internal records.
(3) Entry of functional assessment data using an internet-based program that calculates a level of care.
(4) Timely submission of accurate and appropriate paperwork.
The Certified Screen Specialist transmits internal updates as warranted to ensure appropriate updates to acuity-based provider payment rates and appropriate reimbursement to Inclusa, Inc. via the per member per month capitation payment from DHS. When warranted,
refers members to other internal staff for individualized assistance that ensures member healthy and safety, or continuity of care for members who experience a change that impacts level of care or ongoing eligibility for benefits.
PRINCIPAL DUTIES AND RESPONSIBILITIES
  • Upon assignment, schedules appointments with members to complete an annual re-determination of functional eligibility, or a re-determination of eligibility based on changes in functional abilities reported by Member Support Coordination (MSC) staff. Screens
are expected to be scheduled in a manner which maximizes organizational resources, including time/travel expenses.
  • Uses the screening tool designed by DHS to gather information about each individual‚ s functional abilities, health status, and personal and professional supports required to meet his or her desired level of functioning.
  • Pending the revelation of needs or concerns beyond the scope of the functional screen, refers members to staff of Inclusa or an Aging and Disability Resource Center.
  • Responds to urgent situations and refers individuals for crisis intervention, as necessary.
  • Maintains up-to-date online member information regarding functional abilities, demographics, and appropriate contacts.
  • Works directly with MSC staff to ensure consistency between the information gathered during a member‚ s functional assessment and member-specific data contained in internal records.
  • Conducts face-to-face interviews with individuals, usually in their homes, to perform the functional screen. Enters the information gathered into an internet-based program that, based on the data collected during a face-to-face interview, calculates a level
of care for the individual.
  • Provides 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 one is entitled to or overall program eligibility.
  • Submits timely, accurate, and complete documentation in accordance with established guidelines and processes.
  • Attends meetings and training as needed or required 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.
  • Participates in quality assurance activities that ensure competence and inter-rater reliability among all staff certified to use the statewide long-term care functional screen tool.
  • Once obtained, maintains certification to complete functional eligibility screens by completing and passing continuing skills testing as required by the State of Wisconsin.
  • Applies good professional judgment in documentation by demonstrating respect for members and maintaining screen integrity when reviewing and completing assessments.
Requirements A license to practice as a registered nurse or a Bachelor of Arts or Science degree, preferably in a health or human services related field required. Must have at least one year of experience working with the populations served by Inclusa, Inc. (frail older adults, or adults with physical or developmental disabilities).
Must successfully complete online certification to complete functional eligibility screens within 30 days of hire. Social work or nursing case management experience with older adults or adults with disabilities preferred. Knowledge of physical, psycho-social,
and economic needs of individuals served by Inclusa. Ability to assess the functional needs of members. Familiarity with medical terminology, medical diagnoses, and treatment options. Ability to generate timely and accurate service records.
Personal qualities needed include good listening skills, sensitivity, patience, ability to establish trust and rapport, creativity, and initiative. Ability to use word processor and spreadsheet programs on a personal computer to produce reports/correspondence.
Must be able to plan, prioritize, and organize work effectively and efficiently; at times, work under pressure with very specific deadlines. Ability to work independently or as part of a team.
  • This position will be based in our Sparta office and supporting the local and surrounding counties. Travel between those areas are expected on a regular basis.
  • We will be accepting applications through July 13, 2018. Your new career starts today at https://www.inclusa.org/about/careers/. Click on ‚ View Job Openings‚ , then click on Requisition #18-0168 to view the job posting and apply.
  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
  • Please view Equal Employment Opportunity Posters provided by OFCCP
    here.
  • The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access
    to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure
    is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41
    CFR 60-1.35(c)



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