Nurse Manager, Utilization Management– Physical Health

Pay Plan Title: Nurse Manager, Utilization Management

Working Title: Nurse Manager, Utilization Management – Physical Health 

Cost Center: 4700/ Utilization Management

FLSA Status: Exempt

Posting Salary Range: $78,624 - $105,158

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:

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 Nurse Manager, Utilization Management – Physical Health to join our team! The Nurse Manager, Utilization Management – Physical Health leads day-to-day utilization management operations and oversees utilization management teams responsible for authorization and clinical review workflows. The role is accountable for performance monitoring, staff guidance, and manages workflow execution to ensure timely, accurate determinations and consistent application of review standards.

On a typical day, you might:

Resolve provider concerns, complaints, and authorization-related escalations. 

Employee Benefits:

Trillium knows that work/life balance is essential. That’s why we offer:

Qualifications

Required:

Preferred:

Experience with InterQual guidelines and/or NC Medicaid Clinical Coverage Policies 

Deadline for Application: October 12, 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:

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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