Eligibility & Screening Supervisor — Hybrid, Travel

Molina Healthcare; Kenosha (WI); Hybrid; USD 50,000 - 97,000; Full time

Job summary

Molina Healthcare is seeking a hybrid role in Wisconsin to lead a team supporting long-term care eligibility screening for older adults and individuals with disabilities. The role includes travel to member locations and monthly meetings at a Molina office.

You will hire and train screeners, coordinate screenings with care moves, and ensure regulatory compliance while contributing to quality and cost-effective care strategies.

Qualifications

• 5+ years of health care experience, 3+ years in long-term care support.
• Current LTCFS certification is required.
• RN license may be required in some states; active and unrestricted if licensed.
• Experience with electronic medical records and HIPAA compliance.
• Strong organizational and time-management skills.
• Ability to write routine reports and communicate with stakeholders.

Responsibilities

• Hire, train, and supervise eligibility screeners, provide coaching and ensure compliance.
• Resolve screening issues affecting timing and coordination with moves/discharges.
• Represent LTCFS as SME in meetings and facilitate fair hearings.
• Complete LTCFS tasks and verify findings with internal and external stakeholders.
• Ensure documentation follows LTCFS regulations and maintains quotas.
• Participate in screener meetings, quizzes, testing, and quality activities.
• Provide LTCFS data reports on request and contribute to materials.
• Maintain LTCFS certification via CST.
• Travel as required to meet state/contractual requirements.

Skills

Healthcare experience

LTCFS certification

HIPAA knowledge

Organizational skills

Communication skills

Microsoft Office proficiency

Decision making

Report writing

Education

LTCFS certification

Tools

EMR/EHR systems

MS Office

Job description

Molina Healthcare is seeking a hybrid role in Wisconsin to lead a team supporting long-term care eligibility screening for older adults and individuals with disabilities. The role includes travel to member locations and monthly meetings at a Molina office.

You will hire and train screeners, coordinate screenings with care moves, and ensure regulatory compliance while contributing to quality and cost-effective care strategies.