Specialist, IRIS Consulting (Chippewa Falls County, WI)

Molina Healthcare•Chippewa Falls, WI

1d•$20 - $39•Remote

About The Position

TMG is seeking an IRIS Consultant (IC) with a social services or human services background to support people enrolled in Wisconsin’s IRIS Program, a Medicaid long-term care option for older adults and people with disabilities. The role is remote and home-based, with regularly scheduled visits to participants in their homes and communities. ICs build relationships with participants, help them navigate the program, identify long-term care goals, and develop customized plans to pursue those goals. The work supports participants in areas including employment, housing, health, safety, community membership, transportation, and lasting relationships. The IC connects participants with community resources and natural supports, provides program orientation, and helps ensure plans meet participants’ personal outcomes while staying within their IRIS budgets and program requirements. The role also includes documentation, budget-related assistance, coordination with fiscal and provider agencies, and communication about program changes and compliance. ICs work collaboratively with colleagues and attend monthly in-person team meetings, with weekly phone check-ins potentially occurring.

Requirements

At least 2 years of health care experience, 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, or 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 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 focus on multiple projects simultaneously and adapt to change.
Ability to develop and maintain professional relationships and work through challenging situations.
Comfort working in a variety of settings and adjusting one’s style to work with 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 upon participant request.
Provide program orientation to new participants, including explaining rights and responsibilities, verifying legal documents, completing employee paperwork, and discussing responsible use of public funds.
Explore participants’ goals, relationships, community connections, employment interests, awareness of Self-Directed Personal Care, and backup support plans.
Help participants identify personal outcomes and ensure those outcomes are being met while adhering to IRIS budgets and Department of Health Services 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 that fit participants’ individual outcomes.
Document progress and plan changes when participants request modifications.
Prepare Budget Amendment or One-Time Expense paperwork when required.
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 helping participants with provider billing, finding 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 participants’ plans.
Attend monthly in-person team meetings and participate in weekly phone check-ins with the IRIS Consultant Supervisor when scheduled.
Perform other duties as assigned.