Pay Plan Title: Utilization Management Specialist III
Working Title: Utilization Management Specialist III - IDD
Cost Center: 4700/Utilization Management
FLSA Status: Exempt
Posting Salary Range: $68,890-$92,138
Office Location: Remote within North Carolina
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 Utilization Management Specialist III – IDD to join our team! The Utilization Management Specialist III performs clinical review of service authorization requests and determines appropriate level of care. The role evaluates clinical information, applies medical
necessity criteria, and provides consultation to ensure appropriate utilization and consistent clinical
decision-making.
On a typical day, you might:
- Evaluate authorization requests to determine medical necessity and appropriate level of care.
- Approve, modify, or make recommendations to deny services based on clinical criteria and established guidelines.
- Interpret clinical documentation, diagnoses, and treatment plans to support determinations.
- Provide clinical consultation to providers and internal teams regarding service requests.
- Perform clinical triage and guide referral decisions based on member needs.
- Participate in appeals, mediations, administrative hearings, and post-service clinical reviews.
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:
- Master's degree in health and human services or related field and one (1) year of experience providing Utilization Management services.
- 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.
Preferred:
- Two (2) years of post-Master’s experience in a clinical setting with the IDD/BH/MH/SU population.
Deadline for Application: September 17, 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
Skills Required
- Master's degree in health and human services or a related field
- One year of experience providing utilization management services
- Active North Carolina licensure as an LCSW, LCMHC, LMFT, LPA, LCAS, or RN
- Valid driver's license
- Residence within North Carolina
- Ability to travel within the catchment area as required
- Two years of post-master's clinical experience with the IDD, behavioral health, mental health, or substance use population
What We Do
Trillium Health Resources manages specialty behavioral health care for North Carolinians across 46 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission. We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time. By joining Trillium, you are doing more than going to work…you are transforming lives. We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life. Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.
