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Molina Healthcare

Runs health plans for government programs

IRIS Consultant - IRIS Consulting

Case Management & AdvocacyUpdated on Nov 12
Full-timeEau Claire, WI, USA$19.84 - $38.69 /hr

About the Job

Requirements

  • At least 2 years of experience in health care, preferably in 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.
  • 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 unless otherwise required by law.
  • Demonstrated knowledge of long-term care programs and community resources.
  • Familiarity with principles of self-determination.
  • Proficiency with Microsoft Office and applicable software programs.
  • 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.
  • Problem-solving and critical-thinking skills.
  • Time-management and prioritization skills, including the ability to focus on multiple projects simultaneously and adapt to change.
  • Ability to develop and maintain professional relationships and work through challenging situations.
  • Ability to work in varied settings and adjust approach to diverse populations, personalities, and personal situations.
  • Ability to communicate effectively verbally and in writing.
  • Ability to maintain confidentiality and comply with HIPAA requirements.

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 their rights and responsibilities, verifying legal documents, completing employee paperwork, and responsible use of public dollars.
  • Explore participants’ goals, important 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 met while adhering to the participant’s IRIS budget and Department of Health Services program requirements.
  • Document orientation and planning activities in the WISITs IRIS data system within 48 business hours of each participant visit.
  • Research community resources and natural supports that align with each participant’s outcomes and share relevant information as it becomes available.
  • Document progress and changes to participants’ plans and the data system when a participant requests a modification.
  • Complete Budget Amendment or One-Time Expense paperwork when required by participant circumstances and individual IRIS budgets.
  • Educate participants on interpreting monthly budget reports and operating within their budgets.
  • Liaise 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.
  • Collaborate with other IRIS Consultant Agency staff to ensure successful implementation of participants’ plans.
  • Attend monthly in-person team meetings with other IRIS Consultants and the supervisor, and participate in weekly phone check-ins with the IRIS Consultant Supervisor as applicable.

Desired Qualifications

  • Care coordination experience 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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