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Eligibility Assessment Specialist

2 months ago

Madison, Wisconsin, United States Molina Healthcare Full time
Job Overview

Position Summary

Molina Healthcare is seeking a dedicated Eligibility Screener who is passionate about making a difference in the lives of others. This role is ideal for individuals with a background in human services, social work, healthcare, or case management.

This position is remote, allowing you to engage with individuals in your community who utilize the TMG IRIS Consultant Agency. While you will primarily work from home, your responsibilities will include visiting IRIS participants in their residences, ensuring a dynamic work environment where no two days are the same.

As an Eligibility Screener, your primary responsibility will be to conduct the Adult Long-Term Care Functional Screens (LTC-FS) for participants in the Wisconsin IRIS program, which serves older adults and individuals with disabilities. This role also involves performing annual rescreens and addressing any changes in condition to determine ongoing eligibility for the program. The ideal candidate will demonstrate compassion, approachability, and respect for diverse backgrounds and abilities, recognizing the inherent strengths of each individual.

Molina Healthcare is committed to fostering a diverse and inclusive workforce, prioritizing a healthy work/life balance for its employees. Even in a remote setting, you will receive ample support from your colleagues and the broader organization.

Key Responsibilities

  • Conduct face-to-face meetings with IRIS participants to complete the screening process.
  • Administer the Adult Long-Term Care Functional Screen (LTC-FS) in accordance with Wisconsin Adult LTC-FS guidelines.
  • Verify screening results through contacts with IRIS Consultants, Medicaid Personal Care agencies, and healthcare providers as necessary.
  • Adhere to the highest standards of documentation and program regulations, ensuring timely completion of all screenings.
  • Enhance screening skills through participation in team meetings, training sessions, and assessments.
  • Perform additional duties as assigned by management.

Qualifications

Education:

Bachelor's Degree in health or human services or a related field (e.g., social work, psychology) or graduation from an Accredited School of Nursing.

Experience and Skills:

  • Minimum of 1 year of experience working with target populations, including adults with physical or intellectual disabilities or older adults.
  • Excellent written and verbal communication skills with a keen attention to detail.
  • Proficient in computer and software applications, particularly Microsoft Office Suite.
  • Strong customer service orientation.
  • Effective organizational and time management abilities.
  • Ability to work collaboratively within a team or independently.
  • Flexibility to adapt to changing organizational needs.
  • Willingness to travel as required (approximately 5%).

Licenses and Certifications:

  • Must successfully complete the Wisconsin Adult Long-term Care Functional Screen certification modules (achieving 80% or higher) within the first week of employment and maintain certification.
  • If a graduate from an Accredited School of Nursing, must hold an active, unrestricted Wisconsin Registered Nursing (RN) license in good standing.
  • Possession of a valid driver's license and adequate auto insurance for job-related travel.

Preferred Qualifications:

Current or previous certification in the Long-Term Care Functional Screen is desirable.

Molina Healthcare offers a competitive benefits and compensation package, ensuring a supportive work environment for all employees.