Specialist, IRIS Eligibility Screening (Sheboygan County, WI)

Posted 2 Days Ago
Be an Early Applicant
2 Locations
In-Office
Junior
Insurance
The Role
Conducts face-to-face Adult Long-Term Care Functional Screens for Wisconsin IRIS participants to determine program eligibility. Completes annual and change-in-condition screenings, verifies diagnoses and results with healthcare and program contacts, maintains accurate documentation, follows regulations, and completes screens promptly. Requires strong communication, organization, customer service, computer skills, and the ability to work independently while traveling to participant homes.
Summary Generated by Built In

JOB DESCRIPTION 

Job Summary 

TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear from you!  

 

We’re currently in search for someone with a background in human services, social work, healthcare or case management to join our team. This is a remote position, where you will partner with people in your community who use the TMG IRIS Consultant Agency. While this role is home-based, you will spend most days visiting IRIS participants in their homes. While you’ll have a routine for the work that you do, no two days are alike!

 

As an Eligibility Screener, you would be responsible for completing the Adult Long-Term Care Functional Screens (LTC-FS) for participants of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. The job includes completing annual rescreens and any change-in-condition screens using the Adult LTC-FS tool to ensure program eligibility. Successful candidates will be approachable, compassionate and respectful of people of all different backgrounds and abilities, and be able to see and articulate the strengths that people inherently have.  

 

TMG is committed to maintaining a diverse and inclusive workforce, and prioritizes helping staff have a good work/life balance. Even though the position is remote, you’ll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today!

 

Job Duties 

  • Meets with IRIS participants face to face to complete the screening process. 
  • Completes the Adult Long Term Care Functional Screen (LTC-FS) for people in IRIS according to the Wisconsin Adult LTC-FS Instructions. 
  • Completes contacts to verify screen results with IRIS Consultants, Medicaid Personal Care agencies, and verifies diagnosis information with physicians and the Social Security Administration, when needed.  
  • Meets the highest standards of documentation and program regulations, while ensuring timely completion of  screens. 
  • Maintains screening skills by participating in weekly team meetings, monthly All Screener Meetings, trainings and testing. 
  • Other duties as assigned by management. 
     

Required Qualifications

• At least 1 year of experience serving target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience. 
• Must be currently certified to conduct/administer the adult long-term care functional screens or pass the Wisconsin adult long-term care functional screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener. 
• Bachelor of arts or science degree or more advanced degree in a health or human services related field (e.g. social work, psychology) or graduate from an accredited school of nursing. 
• If a graduate from an accredited school of nursing, must have an active and unrestricted Wisconsin Registered Nurse (RN) license in good standing. 
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. 
• Attention to detail and ability to ensure accuracy of data. 
• Strong organizational and time-management skills. 
• Strong customer service skills and the ability to work cooperatively as part of a team and independently. 
• Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs. 
• Excellent verbal and written communication skills. 
• Demonstrated computer and software skills required including Microsoft Office suite/applicable software program(s) proficiency. 
• Travel Requirements 5%.
 

Preferred Qualifications

• Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Skills Required

  • At least one year of experience serving adults with physical or intellectual disabilities or older adults, or an equivalent combination of relevant education and experience
  • Current certification to administer adult long-term care functional screens, or successful completion of Wisconsin certification modules within the first week of hire with at least 80% on each module
  • Bachelor's degree or higher in a health or human services field, or graduation from an accredited nursing school
  • Active, unrestricted Wisconsin Registered Nurse license in good standing if graduated from an accredited nursing school
  • Valid unrestricted driver's license, reliable transportation, and adequate auto insurance for work travel
  • Attention to detail and data accuracy
  • Strong organizational and time-management skills
  • Strong customer service skills and ability to work cooperatively and independently
  • Flexibility and ability to adapt to changing organizational needs
  • Excellent verbal and written communication skills
  • Demonstrated computer and software skills, including Microsoft Office proficiency
  • Current or former Wisconsin adult Long-Term Care Functional Screening certification

Molina Healthcare Inc. Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Molina Healthcare Inc. and has not been reviewed or approved by Molina Healthcare Inc..

  • Affordable Benefits Benefits are often described as good or competitive, with flexibility and remote-work options contributing to overall value. Feedback suggests core health coverage and the 401(k) match are viewed favorably by many.
  • Healthcare Strength Health insurance is commonly portrayed as solid, with several mentions of strong or comprehensive medical, dental, and vision options. This appears to be a consistent bright spot within the total rewards package.
  • Retirement Support The 401(k) plan, including employer matching, is cited positively and contributes to satisfaction with long-term financial benefits. Comments highlight the match as a meaningful part of overall compensation.

Molina Healthcare Inc. Insights

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The Company

What We Do

Molina Healthcare Inc. is dedicated to delivering effective, reliable, and affordable health care to those who need it most. The company focuses on improving the health and well-being of its members and positively impacting the communities it serves. Recognized as a leader in the health insurance category, it provides essential healthcare services to ensure accessible and quality care for its members.

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