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Molina Healthcare

Runs health plans for government programs

IRIS Consultant

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-time$19.84 - $38.69 /hrRemote

About the Job

Requirements

  • At least two years of experience in health care, preferably in care coordination, and at least one year of experience serving target groups of the IRIS program (adults with intellectual or physical disabilities or older adults), or an equivalent combination of relevant education and experience.
  • A 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 is held.
  • A valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel requirements 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.
  • Time-management and prioritization skills.
  • Ability to focus on 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 one's style to work with diverse populations, personalities, and personal situations.
  • Demonstrated knowledge of community resources.
  • Proactive and detail-oriented work approach.
  • Verbal and written communication skills.
  • Proficiency with Microsoft Office suite or applicable software programs.
  • Ability to meet in person with IRIS participants at least four times per year, including one annual visit in a participant's home, and to be available upon a participant's request.
  • Ability to maintain confidentiality and comply with HIPAA requirements.

Responsibilities

  • Provide program orientation to new participants, including explaining their rights and responsibilities in the IRIS program, verifying legal documents, completing employee paperwork, and explaining responsible use of public funds.
  • Explore participants' lives, including goals, important relationships, local community connections, interest in employment, awareness of the Self-Directed Personal Care option, and backup support plans.
  • Assist participants in identifying personal outcomes and ensure those outcomes are being met while staying within the participant's IRIS budget and program requirements established by the Department of Health Services.
  • Document orientation and planning activities in the WISITs IRIS data system within 48 business hours of participant visits.
  • Research community resources and natural supports suited to participants' individual outcomes and share relevant information with them.
  • Document progress and changes in participants' plans and the data system whenever a participant requests a modification.
  • Complete Budget Amendment or One-Time Expense paperwork as required by participant circumstances and individual IRIS budgets.
  • Educate participants on reading and interpreting monthly budget reports so they operate within their budgets.
  • Act as a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency, 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.
  • Work collaboratively with other IRIS Consultant Agency staff to implement participants' plans successfully.
  • Attend monthly in-person team meetings with other IRIS Consultants and the supervisor; participate in weekly phone check-ins with the IRIS Consultant Supervisor when scheduled.

Desired Qualifications

  • Health care experience in care coordination is preferred.

About the Company

Molina Healthcare

Runs health plans for government programs

Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.

Company size
10,001+
Company stage
IPO
Headquarters
Long Beach, CA
Founded
1980

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