Molina Healthcare · 3 months ago
Eligibility Screener (IRIS) (Milwaukee, WI & Waukesha, WI)
MILWAUKEE, WI
Full-time
Hybrid
Entry, Mid Level
$19.84/hr - $38.69/hr
2+ years expMolina Healthcare is seeking an Eligibility Screener to join their team. The role involves completing Adult Long-Term Care Functional Screens for participants of the Wisconsin IRIS program, ensuring program eligibility while providing compassionate support to individuals in the community.
Health CareHospitalMedical
Responsibilities
Meets with IRIS participants face to face to complete the screening process
Completes the Adult Long Term Care Functional Screen (LTC-FS) for people in IRIS according to the Wisconsin Adult LTC-FS Instructions
Completes contacts to verify screen results with IRIS Consultants, Medicaid Personal Care agencies, and verifies diagnosis information with physicians and the Social Security Administration, when needed
Meets the highest standards of documentation and program regulations, while ensuring timely completion of screens
Maintains screening skills by participating in weekly team meetings, monthly All Screener Meetings, trainings and testing
Other duties as assigned by management
Qualification
Required
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
Travel Requirements 5%
Preferred
Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
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