COMMUNITY LINK INC Certified Screen Specialist in STEVENS POINT, Wisconsin

JOB REQUIREMENTS: Under supervision of the Quality Manager-Continuous Improvement, the 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 CLI members. Duties include: (1) scheduling and completion of functional assessments, (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; and (4) timely submission of accurate and appropriate paperwork. The Screen Specialist transmits internal updates as warranted to ensure appropriate updates to acuity-based provider payment rates and appropriate reimbursement to CLI via the per member per month capitation payment from DHS. When warranted, the Screen Specialist 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, schedule appointments with members to complete an annual redetermination of functional eligibility, or a redetermination of eligibility based on changes in functional abilities reported by Service Coordination staff. Distribute and/or administer CLI's Member Satisfaction Survey ***** OTHER EXPERIENCE AND QUALIFICATIONS: A license to practice as a registered nurse in Wisconsin pursuant to s.441.06 Stats., 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 Community Link 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 Community Link Inc (CLI). 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 ***** APPLICATION INSTRUCTIONS: Apply Online: https://rew12.ultipro.com/COM1041/jobboard/NewCandidateExt.aspx?__JobID=751