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Molina HealthcarePosted 1 month ago

Specialist, IRIS Eligibility Screening (Milwaukee County, WI)

On-siteMilwaukee, Wisconsin, United States

Full TimeDoctorate Or Professional DegreeLargeHealthcare Tech

Job Summary

Conduct face-to-face eligibility screenings for Wisconsin IRIS program participants by completing Adult Long-Term Care Functional Screens (LTC-FS) and verifying results with consultants, agencies, and physicians. Ensure accurate documentation and timely completion of annual and change-in-condition screens while maintaining certification through weekly team meetings and monthly training. Collaborate with IRIS Consultants and Medicaid Personal Care agencies to confirm diagnosis information and program eligibility. Maintain a valid driver's license and reliable transportation for home visits, adhering to strict program regulations and data accuracy standards.

Required Qualifications

  • At least 2 years experience in health care, preferably in care coordination, and 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
  • 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%

Desired Qualifications

  • Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin

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