Specialist, IRIS Consulting

Molina Healthcare•Long Beach, CA

10d•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 position builds trusting relationships and helps participants navigate the program, identify long-term care goals, connect with community resources, and develop customized plans addressing areas such as 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 with each participant in person at least four times per year, including one required annual home visit, and must be available when participants request assistance. The role includes participant orientation, plan development and ongoing monitoring, budget education and documentation, coordination with program partners, and collaboration with other agency staff. The position also requires in-person monthly team meetings and may include weekly phone check-ins with the supervisor.

Requirements

At least 2 years of experience in health care, preferably care coordination, and at least 1 year 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 for a 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.
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 a variety of settings and adjusting one’s approach 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 and applicable software programs.

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 options, and backup support plans.
Help participants identify personal outcomes and ensure their plans meet those outcomes while complying with IRIS program requirements and budgets.
Document orientation and planning activities in the WISITs data system within 48 business hours of participant visits.
Research and share community resources and natural supports that match participants’ individual outcomes.
Document participant progress and requested changes to plans and the data system.
Complete Budget Amendment or One-Time Expense paperwork when required by participant circumstances and budget.
Educate participants on reading and interpreting monthly budget reports and help them stay within their budgets.
Serve as a liaison between the Fiscal Employer Agency and IRIS Consultant Agency, assisting with provider billing, support broker searches, receipt tracking, worker payments, and mitigation of 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 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.