Eligibility Assessment Specialist

2 weeks 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 remote position involves collaborating with individuals in your community who utilize the TMG IRIS Consultant Agency. Although the role is home-based, you will spend a significant amount of time conducting in-home visits with IRIS participants. Each day presents unique challenges and opportunities, ensuring a dynamic work environment.

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 includes performing annual rescreens and change-in-condition assessments to determine program eligibility. Successful candidates will demonstrate compassion, approachability, and respect for diverse backgrounds and abilities, while recognizing and articulating the inherent strengths of individuals.

Molina Healthcare is committed to fostering a diverse and inclusive workforce and values a healthy work/life balance for its employees. Despite the remote nature of the position, 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.
  • Maintain high standards of documentation and compliance with program regulations, ensuring timely completion of assessments.
  • Enhance screening skills by participating 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 strong 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 as part of 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 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 advantageous.

Molina Healthcare offers a competitive benefits and compensation package and is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $38.69 / HOURLY
*Actual compensation may vary based on geographic location, work experience, education, and/or skill level.

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