Senior Specialist, IRIS Consulting (Must reside in WI)

Molina Healthcare•Milwaukee, WI

2d•$22 - $43

About The Position

Provides senior-level support to older adults and people with physical or intellectual disabilities navigating Wisconsin’s IRIS self-directed 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 to strengthen service quality, compliance, and participant outcomes. Local travel is required, and the employee must reside in Wisconsin.

Requirements

At least 4 years of experience related to delivering social services to target populations, including older adults and individuals with intellectual and/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 the ability to build effective relationships with participants, families, providers, and internal partners.
Ability to adapt communication and work style to different settings, diverse populations, personalities, and sensitive personal situations.
Resourcefulness in researching community resources, resolving issues, and supporting access to services and natural supports.
Proficiency with Microsoft Office and other technology used for documentation, communication, reporting, data entry, online systems, and databases.
Ability to model consistency, provide peer support, and reinforce established policies, procedures, and service expectations.
Must reside in Wisconsin.

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, providing consultation, planning, monitoring, and follow-up in accordance with program requirements, participant needs, and service standards.
Conduct required participant contacts, including in-person contacts and annual home visits, and respond to participant requests.
Deliver and oversee orientation for new participants on 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.
Maintain 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 support participant outcomes and reduce barriers to plan implementation.
Identify, escalate, and help resolve participant, service, documentation, and compliance issues.
Serve as a peer resource to IRIS Consultants by sharing best practices, reinforcing consistent service and documentation practices, and supporting onboarding and mentoring of less experienced staff.
Support supervisors and operational leaders through team initiatives, committees, workgroups, audits, workflow support, and other assigned activities.
Promote compliance with company policies, confidentiality standards, and applicable program requirements, and maintain effective relationships with participants, colleagues, and partners.
Participate in team meetings, case consultations, training, and continuous improvement efforts.
Travel locally as required.