Specialist, IRIS Consulting (Milwaukee County, WI)

Molina Healthcare•Milwaukee, WI

8d•$20 - $39•Remote

About The Position

TMG is seeking an IRIS Consultant (IC) with a social services or human services background to support people enrolled in Wisconsin’s IRIS Program, a 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. ICs partner with participants to identify long-term care goals, develop customized IRIS plans, and connect participants with community resources to help them achieve their desired outcomes. The IC supports participants with goals related to employment, housing, health, safety, community membership, transportation, and relationships. The role requires building trusting relationships, helping participants navigate program requirements and budgets, documenting activities and changes in the IRIS data system, and collaborating with agency staff and other parties involved in implementing participants’ plans. The position includes in-person participant visits and monthly in-person team meetings, along with possible weekly phone check-ins with the supervisor.

Requirements

At least 2 years of experience in health care, preferably 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; four years of commensurate experience may substitute if no degree is held.
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 develop and maintain professional relationships and work through challenging situations.
Comfort working in varied settings and adapting 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 visit in the participant’s home, and be available upon participant request.
Provide program orientation to new participants, including explaining rights and responsibilities, verifying legal documents, completing employee paperwork, and discussing 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 monitor whether outcomes are being met while adhering to the participant’s IRIS budget and program requirements.
Document orientation and planning activities in WISITs within 48 business hours of participant visits.
Research and share community resources and natural supports that align with participants’ individual outcomes.
Document progress and plan changes when a participant requests a modification.
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 budget.
Liaise between the Fiscal Employer Agency and IRIS Consultant Agency, including assisting participants with provider billing, finding 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 and participate in weekly phone check-ins with the IRIS Consultant Supervisor as applicable.
Perform other duties as assigned.