Specialist, IRIS Consulting

Molina Healthcare•Long Beach, WI

20h•Remote

About The Position

The IRIS Consultant (IC) partners with 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 help participants navigate the program, identify long-term care goals, connect with community resources, and create customized plans addressing areas such as employment, housing, health, safety, community membership, transportation, and relationships. The IC provides program orientation, supports participants in exercising self-direction, monitors outcomes and budgets, documents activities and changes in the WISITs IRIS data system, and serves as a liaison between participants, Fiscal Employer Agencies, and the IRIS Consultant Agency. The role requires regular participant contact, collaboration with agency colleagues, and attendance at in-person team meetings. TMG describes its workforce as diverse and inclusive and says it prioritizes staff work/life balance and provides support from team members across the organization.

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, 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 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 varied settings and adapting one’s approach 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 visit in the participant’s home.
Be available to participants upon request, consistent with the self-directed nature of the IRIS program.
Provide program orientation to new participants, including information about rights and responsibilities, 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 monitor whether those outcomes are being met while staying within their IRIS budget and program requirements.
Document orientation and planning activities in WISITs within 48 business hours of participant visits.
Research community resources and natural supports that fit participants’ desired outcomes and share relevant information with them.
Document progress and plan changes in the data system when participants request modifications; prepare Budget Amendment or One-Time Expense paperwork when required.
Educate participants on reading and interpreting monthly budget reports so they can operate within their budgets.
Liaise between the Fiscal Employer Agency and IRIS Consultant Agency, assisting participants with provider billing, support broker searches, receipt tracking, worker payment, 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 IRIS Consultant Agency staff to support successful implementation of participants’ plans.
Attend monthly in-person team meetings and participate in weekly phone check-ins with the IRIS Consultant Supervisor when they occur.
Perform other duties as assigned.