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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 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.
  • 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.
  • 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 varied settings and adjusting work style to diverse populations, personalities, and personal situations.
  • Knowledge of community resources.
  • Proactive and detail-oriented work approach.
  • Verbal and written communication skills.
  • Proficiency with Microsoft Office Suite 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, and be available upon participant request.
  • Provide program orientation to new participants, covering their rights and responsibilities in IRIS, verification of legal documents, employee paperwork, and responsible use of public funds.
  • Explore each participant's life, including goals, important relationships, community connections, interest in employment, awareness of the Self-Directed Personal Care option, and backup support plans.
  • Help participants identify personal outcomes and ensure they are met over time while staying within the participant's IRIS budget and program requirements set 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 that fit each participant's outcomes and share relevant information as it becomes available.
  • Document progress and requested plan modifications in the plan and data system whenever a participant requests a change.
  • 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 can operate within budget.
  • 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 effectively.
  • Maintain confidentiality and comply with HIPAA requirements.
  • Collaborate with other IRIS Consultant Agency staff to support successful implementation of participant plans.
  • Attend monthly in-person team meetings with other IRIS Consultants and the supervisor; participate in weekly phone check-ins with the IRIS Consultant Supervisor as scheduled and perform other assigned duties.

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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