Specialist, IRIS Consulting

Molina Healthcare•Long Beach, CA

1d•Remote

About The Position

The IRIS Consultant (IC) builds relationships with people enrolled in Wisconsin’s IRIS Program and helps them navigate and make the most of this Medicaid long-term care option for older adults and people with disabilities. The IC works with participants to identify long-term care goals and develop customized plans addressing areas such as employment, housing, health, safety, community membership, transportation, and relationships. The role connects participants with community resources and supports and helps them achieve personal outcomes within their IRIS budgets and program requirements. This is a remote, home-based position with regularly scheduled visits to participants in their homes and communities. ICs must meet in person with participants at least four times per year, including one annual home visit, and should be available when participants request assistance. The role also involves in-person monthly team meetings, documentation in the WISITs IRIS data system, participant budget support, coordination with Fiscal Employer Agencies, and collaboration with other IRIS Consultant Agency staff. TMG describes its workplace as diverse and inclusive and emphasizes staff support and work/life balance.

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, 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 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 manage multiple projects simultaneously and adapt to change.
Ability to develop and maintain professional relationships and work through challenging situations.
Comfort working in a variety of settings and adjusting communication or 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 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 explaining rights and responsibilities and assisting with legal documents and employee paperwork.
Explore participants’ goals, relationships, community connections, employment interests, personal care options, and backup support plans.
Help participants identify personal outcomes and monitor progress while ensuring plans comply with IRIS budgets 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’ outcomes.
Document progress and plan changes when participants request modifications; complete Budget Amendment or One-Time Expense paperwork when needed.
Educate participants on monthly budget reports and help them stay within their budgets.
Liaise with Fiscal Employer Agencies, including assisting with provider billing, support broker searches, receipt tracking, worker payment issues, and mitigation of potential risks or conflicts of interest.
Build 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 and weekly phone check-ins with the IRIS Consultant Supervisor as applicable, and perform other assigned duties.