利用管理专家 III - MH/SU
Utilization Management Specialist III - MH/SU
薪水计划标题：利用管理专家 III 工作标题：使用管理专家 III - MH/SU FLSA 状态：免除发布工资范围：$68,890- $92,138办公地点：北卡罗来纳州内远程投稿详情：使影响的三里亚健康资源是针对性设计和管理护理组织 (MCO) 为北卡罗拉纳州46个县服务。我们为患有严重精神疾病，药物使用障碍，创伤脑损伤以及智力/发展障碍的人提供服务。我们的使命是帮助个人和家庭建立一个坚实的基础以实现健康，充满生活。为什么为我们工作？托里尔িয়াম认为，赋予他人力量的开始是支持我们的团队。我们为员工提供：· 一个合作型，使命驱动的工作环境 · 对大多数职位来说具有竞争力的优势和从家工作选择 · 在多元化的包容文化中获得专业成长机会 每天，我们的工作改变生活 从早期干预和学校治疗的孩子们到严重精神疾病的成人独立生活并为他们的社区做出贡献。如果你寻找一个独特的机会，以实质对别人的生活产生影响，请今天申请！我们正在寻求什么？利医疗资源为利用管理专家 III - MH/SU 加入我们的团队开业！利用管理专业人员 III - MH/Su 负责为那些与心理健康问题相关的精神病症状和/或同发生或随发症状况，或者药物和/或发展障碍有关的症状或成患者提供综合临床审查服务请求。在典型的一天，你可能：· 为会员或具有心理健康，使用药物和 / 或发展障碍的成员提供临床评估服务，包括诊断审查，医学必要性标准，注册会员资格；提供临床诊断，试验和转让服务的成员进行临床分类。·向医疗保健供应商提供有关临床护理需求，护理水平，客户权利规则，基于证据的实践，实践范围等方面的咨询和技术援助。·提供持续审查/人员/治疗问题的咨询。
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Pay Plan Title:Utilization Management Specialist III
Working Title:Utilization Management Specialist III - MH/SU
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 - MH/SU to join our team! The Utilization Management Specialist III - MH/SU is responsible for providing comprehensive clinical review of services requests for people who experience psychiatric symptoms related to mental health issues and/or co-occurring or co-morbid conditions or symptoms or addictions to substances and/or developmental disabilities.
On a typical day, you might:
- Provide clinical review of services for members or enrollees with mental health, substance use, and/or developmental disabilities including diagnosis review, medical necessity criteria, determining member eligibility; level of care needed and making service authorization decisions regarding individual service authorizations with timely, clear, concise documentation.
- Provide clinical triage for members seeking services through Screening, Triage and Referral.
- Provide consultation and technical assistance to providers regarding clinical care needs, levels of care, Client Rights Rules, evidenced based practices, scope of practice issues etc.
- Provide ongoing review/staffing/consultation of treatment documentation of needs for members participating in group, family or individual services.
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 with some roles 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)
- 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:
- A minimum of two (2) years of post-Master’s experience in a clinical setting with the BH/MH/SU/IDD population.
Deadline for Application:Wednesday, October 21, 2026 at 11:59pm
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.
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Originally posted on Himalayas