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Molina Healthcare Eligibility Screener, TMG-Milwaukee County, WI (Remote) in Milwaukee, Wisconsin

Job Summary

TMG, part of Molina Healthcare, is seeking a Screening Specialist who lives in Milwaukee County, Wisconsin.

This position is responsible for completing the Adult Long-Term Care Functional Screens (LTC-FS) for participants of the IRIS program. This includes completing annual rescreens and any change in condition screens using the Adult LTC-FS tool.

Knowledge/Skills/Abilities

  • Complete the Adult Long Term Care Functional Screen (LTC-FS) for IRIS participants as required and outlined in the Wisconsin Adult LTC-FS Instructions. This includes completing collateral contacts to verify screen findings with IRIS Consultants, MAPC agencies and day programs and verifying diagnosis information with physicians and or SSA.

  • Comply with documentation and program regulations, guidelines and meet screening quota.

  • Maintain screening skills by participating in weekly team meetings, monthly All Screener Meetings, quizzes and testing.

  • Collaborate on the development, process improvement and ongoing quality management of services and related materials/ products.

  • Provide data reports and summaries as needed.

  • Other duties as assigned by management.

    Required Education

  • Graduate from an Accredited School of Nursing.

    OR

  • Bachelor of Arts or Science degree or more advanced degree in a health or human services related field (e.g. social work, rehabilitation, psychology).

    Required Experience

  • Must 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.

  • 1+ years of experience working with one of the target groups served by the IRIS program (adults with physical or intellectual disabilities or older adults).

  • Strong written and verbal communication skills; strong attention to detail.

  • Strong customer service skills.

  • Good organizational and time management skills.

  • Ability to work cooperatively as part of a team or autonomously.

  • Flexibility in the work environment and willingness and ability to adapt to changing organizational needs.

  • Demonstrated computer and software skills required; proficiency with Microsoft Office Suite and other software.

    Required License, Certification, Association

  • If a graduate from an Accredited School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing (RN) license in good standing

  • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

    Preferred License, Certification, Association

    Currently or formerly certified in the Long-Term Care Functional Screen.

    To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

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