Auditor, Elig. Screening - TMG (Milwaukee County, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Job Description

Job Summary

The Auditor, Eligibility Screening is responsible for providing support to the TMG IRIS Consultant Agency (ICA) Long Term Care Functional Screening team with processes and coordinating activities.

Will assist with the completion of the Adult LTC-FS as needed, and works closely with the Long Term Care Functional Screening team..

Job Duties

• Assists with reviewing, processing, assigning and tracking Change in Condition LTC-FS requests.
• Reviews and resolves cross validation issues that arises between the Personal Care Screening Tool (PCST) and the LTC-FS per DHS policy and IRIS protocols and completes internal screen audits to identify issues, trends and training needs and provides a report summary of audit findings.
• Collaborates with the development, process improvement and ongoing quality management of the LTC-FS processes, and complete the Adult LTC-FS, assessments and document appropriately as needed.
• As requested, provides back-up to LTC-FS Generalist, providing data reports and summaries, answering LTC-FS general inbox email and calls, and assisting with entering and maintenance of financial and screen data information in the TMG ICA data system.
• Assist as needed with New Employee Orientation preparation and training of new Screening Specialists.
• Assists with the completion of internal quality and process reviews for screens completed by LTC-FS team and assist with identifying trends and follow up training identified in trends from the audits.
• Assists with completion of Fair Hearing Statements related to functional eligibility Fair Hearing Appeals as needed.
• Completes other duties as assigned.

Job Qualifications

REQUIRED EDUCATION :

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.

REQUIRED EXPERIENCE / KNOWLEDGE, SKILLS & ABILITIES :

• 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).
• Demonstrated computer and software skills required, proficiency with Microsoft Office Suite.
• Consistent attention to detail and accuracy of data.
• Strong written and verbal communication skills and excellent 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.
• Travel Requirements 5%

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION :

• 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.
• 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.
• Must possess a valid driver’s license, maintain adequate auto insurance for job-related travel and ability to travel within Wisconsin.
• If a graduate from an Accredited School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing (RN) license in good standing

PREFERRED EXPERIENCE :

At least one year of experience in Adult Long-Term Care Functional Screening

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :

Currently or formerly certified to conduct / administer the Adult Long Term Care Functional Screens

PHYSICAL DEMANDS :

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and / or hazardous working conditions.

Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

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.

Pay Range : $21.82 - $42.55 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.

If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission.

Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Job Type : Full Time Posting Date : 08 / 26 / 2024