Specialist, IRIS Eligibility Screening (Milwaukee, WI)

Molina Healthcare • Long Beach, WI

1d • Remote

About The Position

TMG is seeking an Eligibility Screener to join their team, focusing on meaningful work that helps others. This remote, home-based position involves partnering with people in the community who use the TMG IRIS Consultant Agency, requiring frequent visits to IRIS participants in their homes. The role primarily involves 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. Key responsibilities include conducting annual rescreens and change-in-condition screens using the Adult LTC-FS tool to ensure program eligibility. Successful candidates should be approachable, compassionate, respectful of diverse backgrounds and abilities, and capable of identifying and articulating people's inherent strengths. TMG emphasizes maintaining a diverse and inclusive workforce and supports staff work/life balance, providing strong team and organizational support despite the remote nature of the role.

Requirements

• 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, 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%.

Nice To Haves

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

Responsibilities

• 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.

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees