Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)

Molina Healthcare•Long Beach, CA

9h•Hybrid

About The Position

Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities for The Management Group (TMG) IRIS Consultant Agency (ICA) participants. Contributes to overarching strategy to provide quality and cost-effective care.

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

Completes the adult long-term care functional screen (LTC-FS) as required and outlined in the Wisconsin adult LTC-FS guidelines.
Meets with program participants face-to-face to complete screening process.
Completes collateral contacts to verify screen findings with internal stakeholders MAPC agencies and day programs, and verifies diagnosis information with physicians and/or Social Security Administration.
Complies with documentation and program regulations, guidelines and meets screening quota.
Maintains screening skills by participating in weekly team meetings, monthly all screener meetings, quizzes and testing.
Collaborates on development, process improvement and ongoing quality management of services and related materials/products.
Compiles data reports and summaries as needed.
Local travel may be required (based upon state/contractual requirements).