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Added 1 hour ago
Provider Network Data Analyst I
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 1 day ago
Manager, Care Management- RCT Triage
Trillium Health Resources
Ahoskie, NC
Added 1 day ago
IT Architect (Information Technology Architect)
Trillium Health Resources
Ahoskie, NC
Added 1 day ago
Quality Management Specialist II -IDD
TRILLIUM HEALTH RESOURCES
Greenville, NC
Must have a valid driver’s license
Added 1 day ago
Manager, Utilization Management – IDD/MH/SU
TRILLIUM HEALTH RESOURCES
NC
Must have a valid driver’s license · Must reside within North Carolina
Added 2 days ago
Paralegal
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 3 days ago
Director, Contractual Financial Oversight
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 3 days ago
Care Manager- RCT (75 miles within Northern Region)
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license
Added 5 days ago
Appeals Specialist II
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 6 days ago
Manager, Provider Services
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 6 days ago
Manager, Care Management - 1915i
Trillium Health Resources
Ahoskie, NC
Added 6 days ago
IT Architect
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within the United States
Added 6 days ago
Manager, Learning Delivery
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license
Added 6 days ago
Full Stack Developer III
TRILLIUM HEALTH RESOURCES
Remote, United States
An applicable information technology certification is required when qualifying through an Associate's degree pathway · Must have a valid driver’s license
Added 8 days ago
Care Manager - Waitlist Mid State Region
Trillium Health Resources
Ahoskie, NC
Added 8 days ago
Housing Specialist II - TCL
TRILLIUM HEALTH RESOURCES
NC
Must have a valid driver’s license · Must reside within Trillium’s Mid State Region, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond
Added 9 days ago
Post Care Transitions Specialist (North Central)
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license
Added 9 days ago
Care Manager – Waitlist
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within Trillium’s Mid State Region, which includes the following counties: Anson, Guilford, Montgomery, Randolph, or Richmond
Added 9 days ago
Claims Specialist III
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within North Carolina
Added 9 days ago
Vice President, Cost Management – Affordability
TRILLIUM HEALTH RESOURCES
Remote, United States
Must have a valid driver’s license · Must reside within the United States
Added 12 days ago
Care Manager-IW
Trillium Health Resources
Ahoskie, NC
Added 13 days ago
Care Transitions Care Manager (Mid State/Southern)
Trillium Health Resources
Ahoskie, NC
Added 13 days ago
Quality Data Analyst II - Performance Measures
Trillium Health Resources
Ahoskie, NC
Added 14 days ago
Care Manager-IW North Central
Trillium Health Resources
Ahoskie, NC
Added 14 days ago
Quality Management Specialist II - IDD
Trillium Health Resources
Ahoskie, NC

Manager, Utilization Management – IDD/MH/SU

NC, United States

Pay Plan Title: Manager, Utilization Management Working Title: Manager, Utilization Management – IDD/MH/SU Cost Center: 4700/Utilization Management FLSA Status: Exempt Posting Salary Range: $78,624 - $105,158 Office Location: Remote within North Carolina.

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Job details

Pay: Pay Plan Title: Manager, Utilization Management Working Title: Manager, Utilization Management – IDD/MH/SU Cost Center: 4700/Utilization Management FLSA Status: Exempt Posting Salary Range: $78,624 - $105,158 Office Location: Remote within North Carolina.
Posting language: English

Original job description

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us?

Trillium believes that empowering others begins with supporting our team. We offer our employees:

A collaborative, mission-driven work environment
Competitive benefits and work-from-home options for most positions
Opportunities for professional growth in a diverse inclusive culture

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

What We’re Looking For

Trillium Health Resources has a career opening for a Manager, Utilization Management – IDD/MH/SU to join our team! The Manager, Utilization Management leads day-to-day utilization management operations and oversees staff responsible for authorization and clinical review workflows. The role monitors performance, guides staff decision-making, and manages workflow execution to ensure timely, accurate determinations and consistent application of review standards.

On a typical day, you might:

Oversee daily authorization workflows, including intake, review coordination, and determination processing.
Assign work and manage staff workload to ensure timely completion of authorization activities.
Monitor turnaround times, decision accuracy, and documentation quality across the team.
Review cases and decisions to ensure consistent application of clinical criteria and policies.
Provide clinical guidance and direction to staff on complex or escalated authorization issues.

Employee Benefits:

Trillium knows that work/life balance is essential. That’s why we offer:

Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval.
Work-from-home options available for most positions
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies

Qualifications

Required:

Associate's degree in health, human services, or related field and three (3) years of progressive experience providing utilization management services to the MH/SU/IDD population; OR
Bachelor's degree in health, human services, or related field and one (1) year of progressive experience providing utilization management services to the MH/SU/IDD population; OR
Master's degree and one (1) year of progressive experience providing utilization management services to the MH/SU/IDD population; OR
Equivalent combination of education and experience.
Active North Carolina licensure as:
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Mental Health Counselor (LCMHC)
Licensed Marriage and Family Therapist (LMFT)
Licensed Psychological Associate (LPA)
Licensed Clinical Addictions Specialist (LCAS)
Registered Nurse (RN)
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.
Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1).

Preferred:

Master’s degree with licensure.

Deadline for Application: November 20, 2026 at 11:59 PM

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

Employer name, dates of service (month/year), average hours worked per week, and essential job duties
Education details (degree type, date awarded, institution, field of study)
Licensure/certification information, if applicable

After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

Apply on workforcenow.adp.com About employer

More about this job

Skills

Decision making
Workflow
Manage personnel
Documentation
Mental health
RN
Valid driver's licence

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