Specialist, IRIS Consulting

Molina Healthcare•Town of Oshkosh, WI

1d•$20 - $39•Remote

About The Position

TMG is seeking an IRIS Consultant to partner with people enrolled in Wisconsin’s IRIS Program and help them navigate this Medicaid long-term care option for older adults and people with disabilities. The position is remote and home-based, with regularly scheduled visits to participants in their homes and communities. Consultants build supportive relationships, identify participants’ long-term care goals, connect them with community resources, and help develop customized plans related to employment, housing, health, safety, community membership, transportation, and relationships. The IRIS Consultant provides program orientation, supports participant-directed planning, and helps participants achieve personal outcomes while remaining within their IRIS budgets and program requirements. The role includes documenting planning activities and changes in the WISITs data system, helping participants understand their budgets and coordinate with fiscal agencies, and collaborating with other IRIS Consultant Agency staff. The position requires at least four in-person participant meetings annually, including one home visit, as well as monthly in-person team meetings. Weekly phone check-ins with the supervisor may also occur.

Requirements

At least 2 years of health care experience, preferably in care coordination, and at least 1 year of experience serving IRIS target groups (adults with intellectual or physical disabilities or older adults), 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 four years of commensurate experience if no degree.
Valid, unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel unless otherwise required by law.
Ability to develop positive and effective working relationships with coworkers, clients, participants, providers, regulatory agencies, and vendors.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Demonstrated knowledge of long-term care programs.
Familiarity with principles of self-determination.
Problem-solving and critical-thinking skills.
Excellent time-management and prioritization skills.
Ability to manage multiple projects simultaneously and adapt to change.
Ability to develop and maintain professional relationships and work through challenging situations.
Comfort working in varied settings and adapting communication style to diverse populations, personalities, and personal situations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented approach.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.

Responsibilities

Meet with IRIS participants in person at least four times per year, including one required annual home visit, and be available upon participant request.
Provide program orientation to new participants, including explaining rights and responsibilities and verifying legal documents and employee paperwork.
Explore participants’ goals, relationships, community connections, employment interests, self-directed personal care options, and backup support plans.
Help participants identify personal outcomes and monitor progress while ensuring plans comply with IRIS budget and program requirements.
Document orientation and planning activities in the WISITs data system within 48 business hours of participant visits.
Research and share community resources and natural supports suited to participants’ individual outcomes.
Document progress and changes to plans and data systems when participants request modifications.
Complete Budget Amendment or One-Time Expense paperwork when required by participant circumstances and budget.
Educate participants on reading and interpreting monthly budget reports and help them operate within their budgets.
Act as a liaison between the Fiscal Employer Agency and IRIS Consultant Agency, assisting with provider billing, support broker searches, receipt tracking, worker payments, and mitigation of potential risks or conflicts of interest.
Develop 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 monthly in-person team meetings and participate in weekly phone check-ins with the IRIS Consultant Supervisor as applicable.
Perform other duties as assigned.