Specialist, IRIS Consulting

Molina Healthcare•Platteville, WI

1d•$20 - $39•Remote

About The Position

TMG is seeking an IRIS Consultant to work remotely from a home-based office and partner with people enrolled in Wisconsin’s IRIS Program and the TMG IRIS Consultant Agency. The position supports older adults and people with disabilities who use IRIS, a Medicaid long-term care option, by building relationships, identifying individual long-term care goals, and helping participants find ways to achieve them. Although the role is remote, it includes regularly scheduled visits with participants in their homes and communities, as well as in-person monthly team meetings. The consultant connects participants with community resources and helps them develop individualized IRIS plans addressing goals such as employment, housing, health, safety, community membership, transportation, and relationships. The role also includes program orientation, plan and budget support, documentation, coordination with fiscal and service partners, and ongoing communication about program requirements and changes. Consultants work independently while collaborating with their team and supervisor.

Requirements

At least 2 years of experience in health care, preferably care coordination, and at least 1 year 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; alternatively, four 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.
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 build and maintain professional relationships and work through challenging situations.
Comfort working in a variety of settings and adapting work 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 in person with each IRIS participant 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 explanation of their rights and responsibilities, verification of legal documents, employee paperwork, and responsible use of public funds.
Explore participants’ goals, relationships, community connections, employment interests, awareness of the Self-Directed Personal Care option, and backup support plans.
Help participants identify personal outcomes and ensure they are pursued 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 participant outcomes.
Document progress and changes to participant plans and the data system when participants request modifications.
Prepare Budget Amendment or One-Time Expense paperwork when required by participant circumstances and budget needs.
Teach participants to read and interpret monthly budget reports and help them remain within budget.
Liaise between the Fiscal Employer Agency and the IRIS Consultant Agency, including assisting with provider billing, seeking support brokers, tracking receipts, ensuring workers are paid, and mitigating 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 other IRIS Consultant Agency staff to support successful implementation of participant plans.
Attend monthly in-person team meetings, participate in weekly phone check-ins with the IRIS Consultant Supervisor when they occur, and perform other assigned duties.