IRIS Self-Directed Personal Care (RN) (Brown County, WI & Oconto County, WI)

Molina Healthcare•Long Beach, WI

8h•Remote

About The Position

Molina Healthcare is seeking a Wisconsin-licensed Registered Nurse for a remote, home-based IRIS Self-Directed Personal Care (SDPC) role serving Brown County and Oconto County, Wisconsin. The nurse partners with people enrolled in the Wisconsin IRIS Medicaid long-term care program, providing assessment, oversight, training, and education to support their personal care needs and person-centered choices. The role includes regularly scheduled visits to members’ homes and communities. The RN administers the Wisconsin Personal Care Screening Tool, develops individual plans of care, oversees a group of IRIS participants, obtains and reviews physician orders, and submits prior authorization requests for personal care services. The nurse also provides training and educational materials to participants and care providers, completes required documentation and follow-up, and collaborates with IRIS consultants, Long-Term Care Functional Screeners, and physicians. Overtime may be required, and driving may account for 50% of a day during member home visits. Home visits may involve stairs, varied environments, and pets.

Requirements

At least 2 years of nursing experience and at least 1 year of experience serving IRIS target groups (adults with physical or intellectual disabilities or older adults), or an equivalent combination of relevant education and experience.
Active, unrestricted Registered Nurse license in Wisconsin.
Associate's degree in nursing.
Valid, unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Database operation and maintenance skills and data-entry experience.
Teaching and mentoring skills.
Analytical and problem-solving skills.
Strong organizational and time-management skills, and ability to manage tasks independently.
Flexibility and willingness and ability to adapt to changing organizational needs.
Strong written and verbal communication skills.
Proficiency with Microsoft Office suite or applicable software programs.

Nice To Haves

Experience providing care through the Wisconsin Medical Assistance Personal Care program (MPAC).
Home care or home health experience.

Responsibilities

Administer the Wisconsin Personal Care Screening Tool and required addendums, and provide personal care assessments and oversight to My Cares Groups.
Document assessments in accordance with tool requirements, Department of Health Services policies, and required oversight visits and calls.
Oversee a group of IRIS participants and develop individual plans of care.
Ensure physician orders for care are obtained and review or revise plans of care as needed.
Submit prior authorization requests for personal care services.
Comply with Department of Health Services policies, SDPC guidelines, procedures, practices, documentation requirements, and program regulations.
Provide personal care training to participants or care providers and provide educational materials as needed.
Complete collateral contacts with IRIS consultants, Long-Term Care Functional Screeners, and physicians to ensure care needs are met.
Complete other duties as assigned.
Travel to member homes and communities for scheduled visits; driving may be required up to 50% of a given day.
Work overtime when required.