Senior Specialist, IRIS Consulting (La Crosse County, WI)

Molina Healthcare•La Crosse, WI

1d•$22 - $43•Remote

About The Position

The Senior Specialist, IRIS Consulting (IRIS Consultant) partners with people enrolled in Wisconsin’s IRIS Medicaid long-term care program to help them pursue their long-term care goals and make the most of available program and community resources. The position is remote and home-based, with regularly scheduled visits to participants in their homes and communities. Consultants help participants develop customized plans addressing areas such as employment, housing, health, safety, community membership, transportation, and relationships. The role involves building trusting relationships, orienting new participants to the program, identifying desired outcomes and appropriate supports, and helping participants manage their IRIS budgets and comply with program requirements. Consultants document orientation, planning, progress, and requested plan changes in the WISITs data system. They also coordinate with participants, providers, the Fiscal Employer Agency, and IRIS Consultant Agency colleagues. The position includes at least four in-person participant meetings per year, including one annual home visit, and in-person monthly team meetings.

Requirements

At least 4 years of experience related to delivering social services to target populations, including older adults and people 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; alternatively, 4 years of commensurate experience if the candidate has 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 identifying risks, evaluating options, and recommending 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 different 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.
Ability to maintain confidentiality and HIPAA compliance.

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

Meet in person with each IRIS participant at least four times per year, including one required annual visit in the participant’s home, and be available when participants request assistance.
Provide program orientation to new participants, including explaining rights and responsibilities, verifying legal documents, completing employee paperwork, and responsible use of public funds.
Explore participants’ goals, relationships, community connections, employment interests, Self-Directed Personal Care awareness, and backup support plans.
Help participants identify personal outcomes and ensure they are being met within their IRIS budget and program requirements.
Document orientation and planning activities in the WISITs IRIS data system within 48 business hours of participant visits.
Research and share community resources and natural supports that align with participants’ individual outcomes.
Document progress and update plans and data systems when participants request modifications; complete Budget Amendment or One-Time Expense paperwork when needed.
Educate participants on reading and interpreting monthly budget reports so they can manage within their budgets.
Liaise between participants, the Fiscal Employer Agency, and the IRIS Consultant Agency, including helping with provider billing, finding support brokers, tracking receipts, ensuring workers are paid, and mitigating risks or conflicts of interest.
Build engaged, trusting relationships with participants and communicate program changes and compliance requirements effectively.
Maintain confidentiality and HIPAA compliance.
Collaborate with IRIS Consultant Agency staff to support successful implementation of participant plans.
Attend in-person monthly team meetings, participate in weekly phone check-ins with the IRIS Consultant Supervisor when they occur, and perform other assigned duties.