Culture Highlights!

• Flexible work environment – work from where it's most convenient, home or office.
• Flexible work model – flex your time to blend work and life to fit various lifestyles/needs.
• Monday through Friday schedule.
• 9 paid holidays, and 3 additional floating holidays (pro-rate applies).
• Volunteer in your community – 24 hours awarded annually.
• Professional Growth – internal and external learning and development opportunities.
• Robust Total Rewards – Medical/Dental/Vision, Telehealth, Flex Spending, 401k Matching, Life insurance, LT/ST Disability, EAP, & Mileage Reimbursement.

**Position can report to Green Bay or Shawano office and will support Oconto/Oconto Falls area (or based on business need). Traveling required.**

Position Summary:

The Functional Eligibility Screener, as part of the Enrollment and Eligibility Division, serves enrolled members who meet the following target populations: frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities.

The position’s goal, under the general direction of the Functional Eligibility Supervisor, is to timely and accurately determine member eligibility for the Family Care Program per organizational policy and procedure while adhering to Department of Health Services (DHS) contract requirements. The Functional Eligibility Screener is responsible for conducting accurate, consistent, and detailed functional assessments. These assessments serve as the foundation for the Comprehensive Strength Based Assessment completed by care management staff, provide a basis for care planning activities based upon Lakeland Care, Inc.’s (LCI) policies and procedures, and directly influence the organization’s capitation.

In this position, the Functional Eligibility Screener meets face to face with members to complete the Long-Term Care Functional Screen (LTCFS) and supplementary evidenced based screening tools, as needed.

Responsibilities & Competencies:

• Timely complete the LTCFS with members, Legal Representatives, Providers, and/or Natural Supports as per organizational policies.
• Conduct interviews with all applicable parties to discern needed information to complete screens and validate screen findings.
• Coordinate and participate in meetings with the Interdisciplinary Team (IDT) staff to discuss the screen findings.
• Use evidence-based screenings to determine the amount of assistance a member requires with completing tasks safely.
• Objectively determine the correlation between members’ current medical diagnosis and their functional abilities.
• Participate in the organization’s Functional Screen Quality Management Program.
• Achieve and maintain certification to administer the LTCFS to include passing the State’s Continuing Skills Test.
• Maintain contemporary knowledge to ensure compliance with Federal and State regulations.
• Maintain the confidentiality of client information and protected health information as required by State and Federal regulations, including the Health Insurance Portability and Accountability (HIPAA) Act of 1996.

Are you excited about this role but not sure if your work experiences align to the role or qualifications? We encourage you to apply anyway. At Lakeland Care, our values drive how we do our work and how we hire. We strive to build an inclusive, authentic workforce that embraces diversity and differences in strengths. So be sure to highlight your skill set and competencies you’re confident in! You may be the right candidate in disguise and/or for other roles.

• Have a bachelor’s degree or more advanced degree in a health or human services related field required or current license to practice as a Registered Nurse (RN) in Wisconsin pursuant to Wis. Stat. § 441.06.
• Minimum of one (1) year of experience working in a professional capacity with at least one of the target groups served by Family Care.
• Possess current State of Wisconsin Long-Term Care Functional Screen certification and have recent experience administering the LTCFS; or will pass the online LTCFS Training Course within 30 days of hire.
• Maintain LTCFS certification in ‘good standing’ by successfully completing all mandatory certification courses, exams, refresher courses, and continuing skills testing as required by DHS.
• Excellent active listening and interviewing skills.
• Strong interpersonal and communication skills, both verbal and written.
• Ability to establish and maintain effective working relationships with stakeholders.
• Ability to comprehend and apply critical and complex information.
• Capability to be flexible and adaptable.
• Working knowledge of basic computer programs and adequate typing skills.
• Capacity to organize and plan work effectively and independently.
• Ability to navigate challenging situations and take appropriate action.
• Understanding of basic Care Management principles.
• Ability to travel within the geographical service regions and throughout the state of Wisconsin. Current WI driver’s license, acceptable driving record and proof of adequate insurance required.

Acknowledgement:

This position description describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive. It does not state or imply these are the only duties and responsibilities assigned to the position. The employee may be required to perform other job-related duties. All requirements are subject to change and to possible modification to reasonably accommodate individuals with a disability.

This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the position change.

APPLICATION DEADLINE DATE: Accepting until filled.

For questions on this role, please reach out to the Talent Acquisition Specialist Becky Vang at becky.vang@lakelandcareinc.com.

**COMPENSATION CAN BE DISCUSSED WITH HUMAN RESOURCES.**

-

Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities to achieve their daily and lifelong goals through Wisconsin’s Family Care program. Currently we serve in 22 counties and have 11 offices in the Central to North East region of Wisconsin.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our Core Values

Kindness – We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion – We believe that open hearts and open minds are the only path to a brighter future.

Trust – We believe that honesty is still in style and that promises still have power.

We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.