Senior Specialist, IRIS Consulting

Molina Healthcare•Long Beach, WI

14h

About The Position

Provides senior-level support to older adults and people with physical or intellectual disabilities as they navigate Wisconsin’s self-directed IRIS long-term supports and services program. The role manages a complex participant caseload, promotes consistent application of program requirements, serves as a peer resource, and supports supervisory and team initiatives that strengthen service quality, compliance, and participant outcomes. The Senior Specialist provides consultation, planning, monitoring, and follow-up; conducts required participant contacts, including in-person and annual home visits; and guides participants through program orientation, person-centered planning, budgets, documentation, and service options. The position also helps identify and resolve participant, service, documentation, and compliance issues, supports colleagues through peer guidance and mentoring, and participates in team and quality-improvement activities. Local travel is required.

Requirements

At least 4 years of experience related to delivering social services to older adults and individuals with intellectual or physical disabilities, 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 4 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.
Knowledge of long-term care programs and familiarity with self-determination, person-centered planning, and community-based service coordination.
Ability to work independently with minimal supervision while managing multiple priorities, deadlines, and participant needs.
Strong problem-solving, critical-thinking, and decision-making skills, including the ability to identify risks, evaluate options, and recommend next steps.
Strong verbal and written communication skills and ability to build effective relationships with participants, families, providers, and internal partners.
Ability to adapt communication and work style to varied settings, diverse populations, personalities, and sensitive personal situations.
Resourcefulness in researching community resources, resolving issues, and supporting participant access to services and natural supports.
Proficiency with Microsoft Office and other technology used for documentation, communication, reporting, and data entry in online systems and databases.
Ability to model consistency, provide peer support, and reinforce established policies, procedures, and service expectations.

Nice To Haves

Experience supporting onboarding, mentoring, training, or peer development activities.
Experience participating in committees, special projects, quality initiatives, or process improvement efforts.
Strong working knowledge of IRIS program operations, documentation expectations, and company policies and procedures.

Responsibilities

Manage a complex IRIS participant caseload and deliver consultation, planning, monitoring, and follow-up in accordance with program requirements, participant needs, and service standards.
Conduct required participant contacts, including in-person visits and annual home visits, and respond to participant requests.
Provide or oversee new-participant orientation covering program rights and responsibilities, enrollment documentation, and stewardship of public funds.
Facilitate person-centered planning by assessing participant goals, relationships, natural supports, community connections, employment interests, backup plans, and awareness of program options.
Partner with participants to identify desired outcomes and monitor plans to ensure services align with participant goals, budgets, and Wisconsin Department of Health Services requirements.
Complete accurate and timely documentation of participant contacts, planning activities, plan changes, and required system updates.
Help participants understand budget reports, amendment requests, one-time expense processes, provider payment issues, and other administrative requirements.
Research and share community resources, natural supports, and service options that advance participant outcomes and reduce barriers to plan implementation.
Identify, escalate, and help resolve participant, service, documentation, or compliance issues.
Share best practices with other IRIS Consultants, reinforce consistent service delivery and documentation, and support onboarding and mentoring of less experienced staff.
Participate in team initiatives, committees, workgroups, audits, workflow support, and other activities that improve team performance and program effectiveness.
Promote compliance with company policies, confidentiality standards, and applicable program requirements while maintaining effective working relationships.
Attend and participate in team meetings, case consultation, training, and continuous improvement efforts.
Travel locally as required.