Specialist, IRIS Consulting (Milwaukee, WI & Mequon, WI)

Molina Healthcare•Long Beach, WI

1d•Hybrid

About The Position

TMG is seeking a Specialist, IRIS Consulting with a social services or human services background to join their team. This remote, home-based position involves partnering with individuals in the community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. The IRIS Consultant (IC) will build relationships with participants, helping them navigate and maximize the benefits of the Wisconsin IRIS program, a Medicaid long-term care option for older adults and people with disabilities. The role involves identifying long-term care goals, finding creative ways to achieve them, and connecting participants to community resources. ICs assist in developing customized IRIS plans for goals related to employment, housing, health, safety, community membership, transportation, and relationships. While the position is remote, it requires regularly scheduled in-person visits with participants in their homes and communities. TMG emphasizes a diverse and inclusive workforce and supports a good work/life balance, providing team support despite the remote nature of the role.

Requirements

At least 2 years experience in health care, preferably in care coordination.
At least 1 year of experience serving target groups of the IRIS program (adults with intellectual/physical disabilities or older adults), or equivalent combination of relevant education and experience.
Bachelor’s degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree).
Valid and unrestricted driver's license.
Reliable transportation.
Adequate auto insurance for job related travel requirements unless otherwise required by law.
Ability to develop positive and effective work 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 focus on multiple projects simultaneously and adapt to change.
Ability to develop and maintain professional relationships and work through challenging situations.
Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities, and personal situations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Responsibilities

Meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant.
Be available upon the request of the participant.
Provide program orientation to new participants, educating them on their rights and responsibilities, verifying legal documents, completing employee paperwork, and ensuring responsible use of public dollars.
Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans.
Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, while adhering to the participant's IRIS budget and IRIS program requirements determined by the Department of Health Services (DHS).
Document all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant.
Research community resources and natural supports that fit individual outcomes for each participant and share information as it becomes available.
Document progress and changes as needed within the plan and the data system anytime a modification is requested by a participant.
Prepare Budget Amendment or One-Time Expense paperwork as required.
Educate participants on how to read and interpret their monthly budget reports to ensure they operate within their budget.
Act as a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency, assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring workers are paid, and mitigating potential risks or conflicts of interest.
Develop engaged and trusting relationships with participants and effectively communicate program changes and compliance.
Maintain confidentiality and HIPPA compliance.
Work collaboratively with other IRIS Consultant Agency staff to ensure successful implementation of participants' plans.
Attend in-person monthly team meetings with other ICs and their supervisor.
Participate in weekly IC and IRIS Consultant Supervisor phone check-ins.
Perform other duties as assigned.