Specialist, IRIS Consulting

Molina Healthcare•Eau Claire, WI

1d•$20 - $39•Remote

About The Position

The IRIS Consultant (IC) partners with people enrolled in Wisconsin’s IRIS Program, a Medicaid long-term care option for older adults and people with disabilities. The role builds trusting relationships and helps participants navigate the program, identify long-term care goals, connect with community resources, and develop customized plans related to employment, housing, health, safety, community membership, transportation, and relationships. This is a remote, home-based position with regularly scheduled visits to participants in their homes and communities. Consultants meet each participant in person at least four times per year, including one required annual home visit, and must be available upon participant request. The role includes orienting new participants; helping them understand their rights, responsibilities, and program requirements; supporting their outcomes within their IRIS budget; documenting activities and plan changes in WISITs; and assisting with budgets, provider billing, receipts, support brokers, and worker payments. Consultants also coordinate with Fiscal Employer Agencies, IRIS Consultant Agency staff, and other parties, maintain confidentiality and HIPAA compliance, and attend monthly in-person team meetings and possible weekly phone check-ins with a supervisor.

Requirements

At least two years of experience in health care, preferably care coordination, and at least one 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; alternatively, four years of commensurate experience if no degree.
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 working 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 and community resources.
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 adapting communication and work style to diverse populations, personalities, and personal situations.
Proactive, detail-oriented approach.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office and applicable software programs.

Nice To Haves

Experience in care coordination.

Responsibilities

Meet in person with each IRIS participant at least four times per year, including one annual visit in the participant’s home, and be available upon participant request.
Provide program orientation to new participants, including explaining their rights and responsibilities and helping verify legal documents and complete employee paperwork.
Explore participants’ goals, relationships, community connections, employment interests, self-directed personal care awareness, and backup support plans.
Help participants identify personal outcomes and ensure those outcomes are addressed 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 relevant community resources and natural supports.
Document progress and update plans and data systems when participants request modifications.
Complete Budget Amendment or One-Time Expense paperwork when required.
Educate participants on interpreting monthly budget reports and help them operate within their budgets.
Liaise between Fiscal Employer Agencies and the IRIS Consultant Agency, including assisting with provider billing, support brokers, receipts, worker payments, and potential risks or conflicts of interest.
Develop trusting relationships with participants and communicate program changes and compliance requirements.
Maintain confidentiality and HIPAA compliance.
Collaborate with IRIS Consultant Agency staff to support implementation of participants’ plans.
Attend monthly in-person team meetings, participate in possible weekly phone check-ins with the IRIS Consultant Supervisor, and perform other assigned duties.