Specialist, IRIS Consulting

Molina Healthcare

Health Insurance

Sheboygan, WI - USA

Specialist

Hybrid

Experteer Overview

In this role you support Wisconsin IRIS participants by helping them navigate a self-directed long-term care program. You’ll work remotely with participants in their homes and communities to identify goals and access local resources. You build trusted relationships, educate on budgets and plans, and ensure compliance with program rules. You’ll collaborate with a cross-functional team to implement personalized IRIS plans and enable meaningful community participation.

Compensation / Benefits

competitive benefits and compensation package

Responsibilities

Meet IRIS participants in person at least four times per year, including one annual home visit
Provide program orientation about rights, responsibilities, and paperwork
Explore participants’ life goals and community connections to develop outcomes within IRIS budget
Document orientation, planning, and progress in the WISITs data system within 48 business hours
Research and share community resources and supports aligned with participant outcomes
Track plan modifications and budget-related paperwork (Budget Amendment/One-Time Expense) as needed
Educate participants on interpreting monthly budget reports and act as liaison between Fiscal Employer Agency and IRIS Consultant Agency
Develop engaged relationships and communicate program changes and compliance effectively
Maintain confidentiality and HIPAA compliance
Collaborate with internal staff to ensure successful plan implementation and attend meetings

Key requirements

At least 2 years in health care (preferably care coordination) and 1 year serving IRIS target groups
Bachelor’s degree in a related field (or four years of commensurate experience)
Valid driver’s license, reliable transportation, and adequate auto insurance for job-related travel
Ability to work independently and develop positive relationships with diverse stakeholders
Knowledge of long-term care programs and self-determination principles
Strong problem-solving, time management, and prioritization skills
Excellent verbal and written communication; proficient in Microsoft Office

compassionate resourceful self-motivated WISITs data system documentation Budget literacy and interpreting monthly reports HIPAA compliance awareness

Description

In this role you support Wisconsin IRIS participants by helping them navigate a self-directed long-term care program. You’ll work remotely w…

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