Care Management Specialist II

Trillium Health Resources; Greenville (NC); Hybrid; USD 43,000 - 54,000; Full time

Benefits offered by this job

Work-from-home options

Competitive benefits

Job summary

Trillium Health Resources is hiring a Care Management Specialist II to support Care Managers and members in the North Central Region. The role involves virtual or in-person meetings, updating member health information, and locating community resources. You will work within 8:30am–5:00pm hours and may travel locally as needed.

The position offers remote options in NC, competitive benefits, and sustainable work-life balance. A valid NC-based driver’s license and Medicaid knowledge are important.

Qualifications

• High school diploma or GED and one year of lived experience with an I/DD/TBI or behavioral health condition and Medicaid navigation experience.
• Peer Support Specialist certification if used for qualifying.
• One year of direct experience caring for an I/DD, TBI, or behavioral health condition and Medicaid navigation experience.
• Must reside within Trillium’s North Central Region and be able to travel within catchment.

Responsibilities

• Perform supportive outreach and engagement with members.
• Facilitate programs and activities to promote holistic health and improve health literacy.
• Arrange/schedule member services including appointments and non-emergency transportation.
• Collaborate with the care team to communicate health updates and changes.
• Participate in relevant educational case conferences.

Skills

Driving

Communication with members

Health system navigation

Education

High school diploma or GED

Certified Peer Support Specialist (when qualifying)

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Care Management Specialist II

Provider Based Care Management Full Time Professionals Remote in North Central Region, Greenville, NC, US 2 Attachments

2 days ago Requisition ID: 3508

Salary Range: $42,682.00 To $54,205.00 Annually

Pay Plan Title: Care Management Specialist I

Working Title: Care Management Specialist I

Cost Center: 8500/Plan Based Care Management

FLSA Status: Non-Exempt

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

Office Location: Remote within Trillium’s North 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:

• 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.

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 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
• 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; OR
• High school diploma or GED and one (1) year of lived experience with a behavioral health condition and certification as a Peer Support Specialist; OR
• 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); OR
• 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 North Central Region, which includes the following counties: Beaufort, Dare, Edgecombe, Green, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, and Wilson.
• 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:

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

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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Attachments (2)

MCSCM001 - Care Management Specialist I.pdf

Tips for Applying to or Interviewing with Trillium 10.9.26.pdf