JobMesh

Specialist, IRIS Eligibility Screening (Brown, Outagamie, Winnebago Counties, WI)

Molina Healthcare · Appleton, Wisconsin, US

JOB DESCRIPTION Job Summary Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectua...

Job description

JOB DESCRIPTION Job Summary Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities for The Management Group (TMG) IRIS Consultant Agency (ICA) participants. Contributes to overarching strategy to provide quality and cost-effective care. Essential Job Duties: - Completes the adult long-term care functional screen (LTC-FS) as required and outlined in the Wisconsin adult LTC-FS guidelines. - Meets with program participants face-to-face to complete screening process. - Completes collateral contacts to verify screen findings with internal stakeholders MAPC agencies and day programs, and verifies diagnosis information with physicians and/or Social Security Administration. - Complies with documentation and program regulations, guidelines and meets screening quota. - Maintains screening skills by participating in weekly team meetings, monthly all screener meetings, quizzes and testing. - Collaborates on development, process improvement and ongoing quality management of services and related materials/products. - Compiles data reports and summaries as needed. - Local travel may be required (based upon st...