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:What We're Looking ForTrillium 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) 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
QualificationsRequired:
- 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 ApplyTo 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.
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