Specialist, IRIS Consulting

Molina Healthcare•Long Beach, WI

9d•Remote

About The Position

The IRIS Consultant (IC) partners with people enrolled in Wisconsin’s IRIS Program and the TMG IRIS Consultant Agency, helping them navigate the Medicaid long-term care program and pursue their individual goals. The position is remote and home-based, with regularly scheduled in-person visits to participants in their homes and communities. ICs help participants identify long-term care goals and develop customized plans related to areas such as employment, housing, health, safety, community membership, transportation, and relationships. The IC provides program orientation, supports participants in understanding their rights and responsibilities, connects them with community resources, and helps them manage their plans and budgets in accordance with IRIS program requirements. The role also involves coordinating with fiscal and other service partners, documenting activities and changes in the IRIS data system, maintaining confidentiality and HIPAA compliance, and collaborating with agency colleagues. The position includes monthly in-person team meetings and may include weekly phone check-ins with the supervisor.

Requirements

At least 2 years of experience in health care, preferably in care coordination, and at least 1 year of experience serving IRIS target groups (adults with intellectual or physical disabilities or older adults), or an equivalent combination of relevant education and experience.
Bachelor’s degree in social work, psychology, human services, counseling, nursing, special education, or a closely related field; four years of commensurate experience may substitute if no degree is held.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Ability to develop positive and effective work relationships with coworkers, clients, participants, providers, regulatory agencies, and vendors.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Demonstrated knowledge of long-term care programs.
Familiarity with principles of self-determination.
Problem-solving and critical-thinking skills.
Excellent time-management and prioritization skills.
Ability to manage multiple projects simultaneously and adapt to change.
Ability to develop and maintain professional relationships and work through challenging situations.
Comfort working in varied settings and adjusting work style to diverse populations, personalities, and personal situations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented approach.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.

Responsibilities

Meet in person with each IRIS participant at least four times per year, including one required annual visit in the participant’s home, and be available at participants’ request.
Provide program orientation to new participants, including explaining program rights and responsibilities, verifying legal documents, completing employee paperwork, and responsible use of public funds.
Explore each participant’s goals, relationships, community connections, employment interests, Self-Directed Personal Care awareness, and backup support plans.
Help participants identify personal outcomes and ensure their plans meet those outcomes while staying within their IRIS budget and program requirements.
Document orientation and planning activities in the WISITs IRIS data system within 48 business hours of participant visits.
Research and share community resources and natural supports appropriate to participants’ individual outcomes.
Document progress and plan changes in the data system when participants request modifications; complete Budget Amendment or One-Time Expense paperwork when needed.
Educate participants on reading and interpreting monthly budget reports so they can operate within their budgets.
Liaise between the Fiscal Employer Agency and the IRIS Consultant Agency, including assisting with provider billing, seeking support brokers, tracking receipts, ensuring workers are paid, and mitigating potential risks or conflicts of interest.
Develop trusting relationships with participants and communicate program changes and compliance requirements effectively.
Maintain confidentiality and HIPAA compliance.
Collaborate with other IRIS Consultant Agency staff to support successful implementation of participant plans.
Attend monthly in-person team meetings and participate in weekly phone check-ins with the IRIS Consultant Supervisor when they occur.
Perform other duties as assigned.