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Molina Healthcare

Runs health plans for government programs

Eligibility Screener - IRIS Eligibility Screening

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeMilwaukee, WI, USA$19.84 - $38.69 /hr

About the Job

Requirements

  • At least 1 year of experience serving target groups of the IRIS program, including adults with physical or intellectual disabilities or older adults, or an equivalent combination of relevant education and experience.
  • Be currently certified to conduct or administer adult long-term care functional screens, or pass the Wisconsin adult long-term care functional screen certification modules with at least 80% on each module within the first week of hire, and maintain certification as a screener.
  • Have a Bachelor of Arts or Science degree or a more advanced degree in a health- or human-services-related field, such as social work or psychology, or graduate from an accredited school of nursing.
  • If graduated from an accredited school of nursing, hold an active and unrestricted Wisconsin Registered Nurse license in good standing.
  • Have a valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel.
  • Demonstrate attention to detail and the ability to ensure data accuracy.
  • Have strong organizational and time-management skills.
  • Have strong customer service skills and the ability to work cooperatively as part of a team and independently.
  • Remain flexible in the work environment and be willing and able to adapt to changing organizational needs.
  • Have excellent verbal and written communication skills.
  • Demonstrate computer and software skills, including proficiency in Microsoft Office suite or applicable software programs.

Responsibilities

  • Meet face to face with IRIS participants to complete the screening process.
  • Complete the Adult Long-Term Care Functional Screen for people in IRIS according to the Wisconsin Adult Long-Term Care Functional Screen Instructions.
  • Contact IRIS Consultants and Medicaid Personal Care agencies to verify screen results, and verify diagnosis information with physicians and the Social Security Administration when needed.
  • Meet program documentation and regulatory standards while ensuring timely completion of screens.
  • Maintain screening skills by participating in weekly team meetings, monthly All Screener Meetings, trainings, and testing.
  • Perform other duties as assigned by management.

Desired Qualifications

  • Have current or former certification to conduct or administer adult Long-Term Care Functional Screening in Wisconsin.

About the Company

Molina Healthcare

Runs health plans for government programs

Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.

Company size
10,001+
Company stage
IPO
Headquarters
Long Beach, CA
Founded
1980

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