Specialist, IRIS Eligibility Screening

Molina Healthcare•Long Beach, CA

10d•Remote

About The Position

TMG is seeking an Eligibility Screener to join their team. This is a remote position where the individual will partner with people in their community who use the TMG IRIS Consultant Agency. While the role is home-based, the screener will spend most days visiting IRIS participants in their homes. The primary responsibility is 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. This includes completing annual rescreens and change-in-condition screens to ensure program eligibility. The ideal candidate will be approachable, compassionate, respectful, and able to recognize and articulate individual strengths. TMG is committed to a diverse and inclusive workforce and supports work/life balance, offering support from the TMG team and coworkers.

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.

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.