Care Management Specialist I (South Central)

Trillium Health Resources; Raleigh (NC); Remote; USD 43,000 - 54,000; Full time

Benefits offered by this job

Remote work within region

Health benefits with no employee-premi

401k with employer match

Paid time off + holidays

Public Service Loan Forgiveness (PSLF)

Job summary

Trillium Health Resources is seeking a Care Management Specialist I to support Care Managers in delivering tailored care. The role may involve virtual or in-person member meetings, updating health records, and assisting members in locating additional medical or community resources.

Remote work within the South Central Region is expected, with travel as needed. Typical hours are 8:30am–5:00pm, with some flexibility and occasional in-person meetings.

Qualifications

• Requires high school diploma or GED.
• One year of lived experience with I/DD or TBI and knowledge of NC Medicaid delivery system.
• One year of lived experience with a behavioral health condition and Peer Support Specialist certification.
• One year of direct experience with Tailored Care Management eligible population.

Responsibilities

• Perform supportive outreach, follow-up, and engagement with members.
• Facilitate programs and activities promoting holistic health and health literacy.
• Arrange/schedule member services including appointments and non-emergency transportation.
• Collaborate with Care Manager and care team to communicate health updates and changes.
• Participate in educational case conferences.
• Ensure proper storage and transmission of sensitive health records.

Education

High School Diploma or GED + 1 year lived experience with I/DD or TBI

High School Diploma or GED + 1 year lived experience with behavioral health condition + Peer Support Specialist certification

High School Diploma or GED + 1 year direct experience with Tailored Care Management population

Must have a valid driver’s license

Job description

Pay Plan Title: Care Management Specialist I

Working Title: Care Management Specialist I

FLSA Status: Non-Exempt

Posting Salary Range: $42,682 - $54,205

Office Location: Remote within Trillium’s South Central Region(See requirements section for included counties)

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.

What We’re Looking For

Trillium Health Resources has a career opening for a Care Management Specialist I to join our Care Management team. This position will be instrumental in providing key support to Care Managers in delivering appropriate services to meet members’ needs. A Care Management Specialist I assists Care Managers with their duties, augmenting the team’s workforce capacity and delivering most Tailored Care Management member required contacts. This work may include meeting with members virtually or in person, recording member health updates, suggesting changes to the Care Manager for current care plan efficacy, and assisting the member in finding additional medical or community-based resources, among others. The Care Management Specialist I would be expected to work and be available at their remote location between the hours of 8:30am – 5:00pm and be flexible to travel within the community to meet with members as well as attend other meetings as needed.

On a typical day, you might:

• Perform supportive outreach, follow-up, and engagement with members.
• Facilitate programs and activities that promote holistic health and improve members’ health literacy/education (teaching self-management skills, sharing self-help recovery resources, distributing educational materials on chronic conditions, etc).
• Arrange/schedule various member services, including appointments, wellness reminders, and non-emergency medical transportation needs.
• Collaborate with the Care Manager and other personnel of the care team to communicate information regarding the members’ care, including health updates and changes.
• Participate in relevant educational case conferences.
• Ensure the proper storage and transmission of sensitive health records.

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) 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

• High school diploma or GED and one (1) year of lived experience with an intellectual/developmental disability (I/DD) or a traumatic brain injury (TBI) with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system;
• High school diploma or GED and one (1) year of lived experience with a behavioral health condition and certification as a Peer Support Specialist;
• High school diploma or GED and one (1) year of direct experience as a parent or guardian providing care for an individual with an I/DD, TBI, or behavioral health condition and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as a specialist for their family member);
• High school diploma or GED and one (1) year of paid experience performing the duties described in the “Essential Duties” in the job description, with at least one (1) year of paid experience working directly with the Tailored Care Management eligible population.
• Must have a valid driver’s license.
• Certified Peer Support Specialist if used for qualifying as noted above.
• Must reside within Trillium’s South Central Region, which includes the following counties: Carteret, Craven, Duplin, Jones, Lenoir, Onslow, Pender, Sampson, and Wayne.
• Must be able to travel within catchment as required.
• Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1).

Preferred Qualifications

• Two (2) years of paid experience performing the duties described in the “Essential Duties” section listed in the job description.

Deadline for Application

Thursday November 5, 2026, at 11:59PM

Equal Employment Opportunity

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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