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Director, Clinical Operations - LTSS

Role overview

Qualifications

  • Bachelor's degree in a health or human services field
  • Three (3) years of progressive experience in care management, case management, or care coordination with MH/SU/DD populations
  • Active North Carolina licensure as LCSW, LCMHC, LPA, LMFT, LCAS, or RN
  • Valid driver's license, must reside within North Carolina

Responsibilities

  • Lead multiple clinical operations teams and functions, providing strategic direction and clinical oversight
  • Develop, implement, and evaluate clinical programs, policies, and procedures for integrated care delivery
  • Direct staff including managers and supervisors, ensuring accountability for team performance and clinical quality
  • Monitor and evaluate program performance against clinical outcomes and regulatory standards

About the company

Trillium Health Resources logo

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

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Job description


Pay Plan Title: Director, Clinical Operations

Working Title: Director, Clinical Operations - LTSS

Cost Center: 8600/Provider Based Care Management

FLSA Status: Exempt

Posting Salary Range: $106,913 - $139,910

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 Director, Clinical Operations - LTSS to join our team! The Director, Clinical Operations – LTSS leads major clinical operations functions, programs, or regional care management operations, setting strategic direction and ensuring effective delivery of integrated, whole-person care across the organization. The role is accountable for clinical and operational outcomes, provides clinical oversight and guidance across teams and managers, and drives continuous improvement in care delivery, compliance, and member outcomes.


On a typical day, you might:


  • Lead multiple clinical operations teams and/or functions, providing strategic direction, clinical oversight, and operational management.
  • Develop, implement, and evaluate clinical programs, policies, and procedures to support high-quality, integrated care delivery.
  • Direct staff including managers and supervisors, ensuring accountability for team performance, clinical quality, and operational outcomes.
  • Oversee clinical operations including care management, coordination, and utilization practices to ensure appropriate level of care and service delivery.
  • Monitor and evaluate program performance against clinical outcomes, accreditation requirements, and regulatory standards.


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:

  • Bachelor's degree in a health or human services field and three (3) years of progressive experience in care management, case management, or care coordination with MH/SU/DD populations, including experience in program development and/or program management.
  • Active North Carolina licensure as one of the following: 
    • Licensed Clinical Social Worker (LCSW)
    • Licensed Clinical Mental Health Counselor (LCMHC)
    • Licensed Psychological Associate (LPA)
    • Licensed Marriage and Family Therapist (LMFT)
    • 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:

  • Master’s degree in Social Work, Psychology, Nursing, Public Administration, Healthcare Administration, or related field.
  • Experience with the Long Term Service and Support services (LTSS) and Home and Community-Based Services (HCBS). 


Deadline for Application: August 26, 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.


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Marcus Rivera

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