Nurse Consultant, IRIS (Must reside in WI)

Molina Healthcare•Long Beach, WI

18h

About The Position

JOB DESCRIPTION Job Summary Provides clinical consultation for IRIS participants requiring clinical expertise. IRIS nurse consultants train IRIS Consultant Agency (ICA) staff on clinical conditions and equipment, and serve as clinical consultants for the Wisconsin Department of Health Services (DHS). Contributes to overarching strategy to provide quality and cost-effective care. Essential Job Duties Provides assistance and triage for IRIS consultant agency (ICA) participants with complex medical issues. Provides training and guidance to IRIS ICA in relation to the health and safety of participants. Approves participant plans that request nursing services, assisting with complicated discharges from institutions. Reviews member private duty nursing and other skilled care cases. Interprets member labs and tests, suggesting equipment for non-self-directed personal care participants. Determines medical, dual eligible, skilled care needs, and unsafe plans related to health and safety, provides education/training to IRIS ICA on participant common health issues and safety. Provides IRIS ICA staff with training on skilled care/private duty nursing, nurse delegation, common medical issues, and various disabilities. Provides orientation to new IRIS ICA on self-directed personal care (SDPC), and trains on standard precautions, communicable diseases, medical considerations, dual eligibility, supplemental security income (SSI) managed care, and Medicare managed care projects. Assists with operational guideline development, and complies with all policies, rules, and regulations. Provides trainings at IRIS ICA locations depending on needs. Local travel may be required (based upon state/contractual requirements).

Requirements

At least 4 years of health care experience in nursing setting, and at least 1 year of home health, hospital and/or clinical training experience, and experience in a care management and/or behavioral health setting, preferably serving the target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience.
Active and unrestricted Registered Nurse (RN) license in the state of Wisconsin.
Bachelor's of science in nursing.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
Demonstrated competencies in the following: professionalism, leadership, performance management, team development, ability to interpret data to ensure quality of work.
Knowledge of long-term care programs and familiarity with principles of self-determination.
Demonstrated knowledge of community resources.
Resourceful, proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Responsibilities

Provides assistance and triage for IRIS consultant agency (ICA) participants with complex medical issues.
Provides training and guidance to IRIS ICA in relation to the health and safety of participants.
Approves participant plans that request nursing services, assisting with complicated discharges from institutions.
Reviews member private duty nursing and other skilled care cases.
Interprets member labs and tests, suggesting equipment for non-self-directed personal care participants.
Determines medical, dual eligible, skilled care needs, and unsafe plans related to health and safety, provides education/training to IRIS ICA on participant common health issues and safety.
Provides IRIS ICA staff with training on skilled care/private duty nursing, nurse delegation, common medical issues, and various disabilities.
Provides orientation to new IRIS ICA on self-directed personal care (SDPC), and trains on standard precautions, communicable diseases, medical considerations, dual eligibility, supplemental security income (SSI) managed care, and Medicare managed care projects.
Assists with operational guideline development, and complies with all policies, rules, and regulations.
Provides trainings at IRIS ICA locations depending on needs.