IRIS Self-Directed Personal Care (RN) (Winnebago County, WI, Calumet County, WI, & Outagamie County, WI)

Molina Healthcare•Long Beach, CA

3h•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 participants in Winnebago, Calumet, and Outagamie counties. The nurse partners with people enrolled in Wisconsin’s IRIS Medicaid long-term care program, including older adults and people with disabilities, to provide assessment, oversight, training, and education. The position includes regularly scheduled visits with participants in their homes and communities. The RN administers the Wisconsin Personal Care Screening Tool, develops person-centered plans of care, oversees personal care services, and provides education and guidance to participants and care providers. The role also involves documentation, follow-up, prior authorization submissions, and coordination with IRIS Consultants, Long-Term Care Functional Screeners, and physicians. Travel may account for 50% of a workday during member home visits. Overtime may be required.

Requirements

At least 2 years of nursing experience and at least 1 year of experience serving 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 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, with the ability to manage tasks independently.
Flexibility and the ability and willingness to adapt to changing organizational needs.
Strong written and verbal communication skills.
Proficiency with Microsoft Office and 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 to provide personal care assessments and oversight to assigned My Cares Groups.
Document assessments in accordance with tool requirements and Department of Health Services policies, and complete required oversight visits and calls.
Oversee a group of IRIS participants and develop individual plans of care.
Obtain physician orders for care and review or revise plans of care as needed.
Submit prior authorizations 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 supply educational materials as needed.
Coordinate with IRIS Consultants, Long-Term Care Functional Screeners, and physicians to ensure participants’ care needs are met.
Complete other duties as assigned.