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Molina Healthcare

Runs health plans for government programs

IRIS Consultant - IRIS Consulting

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-time$21.82 - $42.55 /hr

About the Job

Requirements

  • At least four years of experience related to delivering social services to older adults and individuals with intellectual or physical disabilities, 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.
  • Knowledge of long-term care programs and familiarity with self-determination, person-centered planning, and community-based service coordination.
  • Ability to work independently with minimal supervision while managing multiple priorities, deadlines, and participant needs.
  • Problem-solving, critical-thinking, and decision-making skills, including identifying risks, evaluating options, and recommending appropriate next steps.
  • Verbal and written communication skills to build effective relationships with participants, families, providers, and internal partners.
  • Ability to adapt communication and work style to diverse settings, populations, personalities, and sensitive personal situations.
  • Ability to research community resources, resolve issues, and support participant access to services and natural supports.
  • Proficiency with Microsoft Office applications and technology used for documentation, communication, reporting, and data entry in online systems and databases.
  • Ability to model consistency, provide peer support, and reinforce established policies, procedures, and service expectations.

Responsibilities

  • Manage a complex IRIS participant caseload and deliver consultation, planning, monitoring, and follow-up in accordance with program requirements, participant needs, and service standards.
  • Conduct required participant contacts, including in-person visits and annual home visits, and respond to participant requests in support of the self-directed IRIS program.
  • Deliver and oversee orientation for new participants covering program rights and responsibilities, enrollment documentation, and stewardship of public funds.
  • Facilitate person-centered planning by assessing participant goals, relationships, natural supports, community connections, employment interests, backup plans, and understanding of program options.
  • Partner with participants to identify desired outcomes and monitor plans to ensure services remain aligned with participant goals, budgets, and Wisconsin Department of Health Services requirements.
  • Document participant contacts, planning activities, plan changes, and required system updates accurately and within established turnaround times.
  • Guide participants in understanding budget reports, amendment requests, one-time expense processes, provider payment issues, and other administrative requirements for compliant budget management.
  • Research and share community resources, natural supports, and service options that advance participant outcomes and reduce barriers to plan implementation.
  • Identify, escalate, and help resolve participant, service, documentation, or compliance issues by applying sound judgment, problem-solving skills, and knowledge of program requirements.
  • Serve as a peer resource to other IRIS Consultants by sharing best practices, reinforcing consistent service delivery and documentation, and supporting onboarding and mentoring of less experienced staff.
  • Support supervisors and operational leaders through team initiatives, committees, workgroups, audits, workflow support, and other assigned activities to improve team performance and program effectiveness.
  • Promote compliance with company policies, confidentiality standards, and applicable program requirements while maintaining effective relationships with participants, colleagues, and internal and external partners.
  • Participate in team meetings, case consultation, training, and continuous improvement efforts to support consistent, high-quality IRIS Consulting services.
  • Travel locally as required.

Desired Qualifications

  • Experience supporting onboarding, mentoring, training, or peer development activities.
  • Experience participating in committees, special projects, quality initiatives, or process improvement efforts.
  • Working knowledge of IRIS program operations, documentation expectations, and company policies and procedures.

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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