TRILLIUM HEALTH RESOURCES·North Carolina
Manage administrative components of the clinical review process for service authorization requests, primarily for IDD and Behavioral Health services. Responsibilities include pre-screening requests for compliance, tracking review timelines, and communicating outcomes to providers.
Pay Plan Title: Coordinator
Working Title: Utilization Management (UM) Coordinator – (IDD)
FLSA Status: Exempt
$56,270 - $69,898
Remote within North Carolina.
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?
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!
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.
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.
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.
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.
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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.
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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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Requires a High School Diploma with 6 years experience, an Associate degree with 4 years experience, or a Bachelor's degree with 2 years experience in the BH/MH/SU/IDD field. Candidates must reside in North Carolina and possess a valid driver's license.
Market context
Behavioral health employers in North Carolina often look for licensed or credentialed clinicians, and this role requires registration with the North Carolina Substance Abuse Professional Certification board. These positions can be competitive because employers may prefer a bachelor’s degree and want candidates who can work within treatment, documentation, and care coordination expectations. Review the AI-summarized requirements and benefits here to save time, and confirm your credential status before applying.