Role overview

Qualifications

High School Diploma/GED and six (6) years’ experience in the BH/MH/SU/IDD field
Associate’s degree in Human Services, Health, or related field and four (4) years’ experience in the BH/MH/SU/IDD field
Bachelor’s degree in Human Services, Health, or related field and two (2) years’ experience in the BH/MH/SU/IDD field
Must have a valid driver’s license

Responsibilities

Manage the administrative components of the clinical review process for service authorization requests
Pre-screen requests to determine completeness and compliance with the Trillium Benefit Plan and Clinical Coverage Policies
Collaborate with Utilization Management (UM) Clinicians to oversee documentation accuracy
Communicate decisions to providers and ensure required notifications are issued appropriately

Key facts

Remote from: Indiana (USA), North Carolina (USA)
Full time
Senior (5-10 years)
Operations Manager
English

Hard skills

Utilization Management Behavioral Health Service Accounts Company Administration Care Coordination Person-Centered Therapy Individual Development Planning

Other skills

Communication
Collaboration
Time Management
Problem Solving

About the company

Trillium Health Resources

Health Insurance (Payers)

Trillium Health Resources manages specialty behavioral health care for eastern North Carolinians across 28 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.

Company details

Company typeSME

IndustryHealth Insurance (Payers)

Company size501 - 1000

Links

Website LinkedIn See all jobs

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Pay Plan Title: Coordinator

Working Title: Utilization Management (UM) Coordinator – (IDD)

FLSA Status: Exempt

Posting Salary Range: $56,270 - $69,898

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 (UM) Coordinator to join our team! The UM Coordinator is responsible for managing the administrative components of the clinical review process for service authorization requests primarily related to Innovations Waiver services for Intellectual/Developmental Disabilities (IDD), as well as Behavioral Health (BH)/Mental Health (MH), and Substance Use (SU) services. This position is responsible for pre-screening requests to determine completeness and compliance with the Trillium Benefit Plan and Clinical Coverage Policies, ensuring they are ready for clinical review. Working collaboratively with Utilization Management (UM) Clinicians, this position oversees documentation accuracy, tracks review timelines and outcomes, communicates decisions to providers, and ensures required notifications are issued appropriately.

On a typical day, you might:

Review and pre-screen IDD/MHSU service authorization requests.
Manage and monitor the timeliness of clinical reviews.
Coordinate and oversee the submission of clinical documentation.
Track Peer Reviewer decisions and independently communicate outcomes to clinicians.
Ensure all required notices and actions are issued appropriately and on time.

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) 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:

High School Diploma/GED and six (6) years’ experience working in the BH/MH/SU/IDD field; OR
Associate’s degree in Human Services, Health, or related field and four (4) years’ experience working in the BH/MH/SU/IDD field; OR
Bachelor’s degree in Human Services, Health, or related field and two (2) years’ experience working in the BH/MH/SU/IDD field; OR
Equivalent combination of education/experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.

Preferred:

Experience working with the IDD/BH/MH/SU/ population.
Experience with individuals with IDD/TBI/Autism as a family member, guardian, community member, or professional.
Experience providing Innovations Waiver services or other IDD services.
Experience with care coordination and/or tailored care management inclusive of Individual Support Plan development and person-centered care.

Deadline for Application: Tuesday, July 28, 2026 at 11:59pm

coo

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