Manager, Utilization Management – IDD/MH/SU
About The Position
Trillium Health Resources is hiring a Manager, Utilization Management – IDD/MH/SU to lead day-to-day utilization management operations. The manager oversees staff responsible for authorization and clinical review workflows, monitors performance, guides staff decision-making, and manages workflow execution to support timely, accurate determinations and consistent application of review standards. The role is remote within North Carolina, with travel within the catchment area as required. Typical working hours are 8:30 a.m. to 5:00 p.m.; flexible work schedules may be available for some positions with management approval.
Requirements
- Associate's degree in health, human services, or a related field and three years of progressive experience providing utilization management services to the MH/SU/IDD population; or
- Bachelor's degree in health, human services, or a related field and one year of progressive experience providing utilization management services to the MH/SU/IDD population; or
- Master's degree and one year of progressive experience providing utilization management services to the MH/SU/IDD population; or an equivalent combination of education and experience.
- Active North Carolina licensure as an LCSW, LCMHC, LMFT, LPA, LCAS, or RN.
- Valid driver's license.
- Must reside in North Carolina and be able to travel within the catchment area as required.
- Must be legally authorized to work in the United States without requiring employment sponsorship now or in the future.
Nice To Haves
- Master's degree with licensure.
Responsibilities
- 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.
Benefits
- Collaborative, mission-driven work environment.
- Competitive benefits and work-from-home options for most positions.
- Opportunities for professional growth in a diverse, inclusive culture.
- Health insurance with no premium for employee coverage.
- Flexible Spending Accounts.
- 24 days of paid time off plus 12 paid holidays in the first year.
- North Carolina Local Government Retirement Pension (defined-benefit plan).
- 401(k) with 5% employer match and immediate vesting.
- Public Service Loan Forgiveness qualifying employer.
- Quarterly stipend for remote work supplies.
- Flexible work schedules may be available for some positions with management approval.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
