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The Utilization Management Specialist III performs clinical reviews of service authorization requests to determine the appropriate level of care. They also provide clinical consultation to providers and internal teams while participating in appeals and administrative hearings.
Pay Plan Title: Utilization Management Specialist III
Working Title: Utilization Management Specialist III - IDD
Cost Center: 4700/Utilization Management
FLSA Status: Exempt
Posting Salary Range: $68,890-$92,138
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 Utilization Management Specialist III – IDD to join our team! The Utilization Management Specialist III performs clinical review of service authorization requests and determines appropriate level of care. The role evaluates clinical information, applies medical
necessity criteria, and provides consultation to ensure appropriate utilization and consistent clinical
decision-making.
On a typical day, you might:
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
Qualifications
Required:
Preferred:
Deadline for Application: September 17, 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.
#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth
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