MH/SU UM Clinician

TRILLIUM HEALTH RESOURCES
3dRemote

About The Position

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. Trillium Health Resources has a career opening for a MH/SU UM Clinician to join our team! The MH/SU UM Clinician 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.

Requirements

  • Master’s degree in a Human Services field and a minimum of (1) year of post-degree progressive experience providing care management, case management, care coordination and/or assessing and/or evaluating the support needs of the BH/MH/SU/IDD population.
  • Active valid license in the state of North Carolina as an LCSW, LCMHC, LCAS, LPA, LP or LMFT.
  • Must have a valid driver’s license.
  • Must reside within North Carolina.
  • Must be able to travel within catchment as required.

Nice To Haves

  • A minimum of two (2) years post- Master’s experience in a clinical setting with the BH/MH/SU/IDD population.

Responsibilities

  • 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.

Benefits

  • Competitive benefits and work-from-home options for most positions
  • 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
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