Physical Therapist - UM

Trillium Health Resources; North Carolina; On-site; USD 80,000 - 113,000; Full time

Benefits offered by this job

Flexible schedules

Work-from-home

Health insurance

Flexible Spending Accounts

PTO + holidays

401k employer match

PSLF eligible

Remote work stipend

Job summary

Trillium Health Resources is seeking a Physical Therapist – UM to join our defined team. The role focuses on medical necessity reviews, coordinating utilization criteria and ensuring timely determinations across NC-based programs.

The position supports remote within North Carolina, with standard hours and the ability to travel as needed. A NC-licensed PT with UM experience is required, along with a driver’s license and a Master’s in Physical Therapy.

Qualifications

• Master’s degree in Physical Therapy and one year of utilization management or utilization review experience.
• Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist.
• Must have a valid driver’s license and reside within North Carolina.

Responsibilities

• Perform medical reviews to determine medical necessity and level of care.
• Interpret clinical documentation, diagnoses and treatment plans to support determinations.
• Conduct clinical assessments and provide recommendations to support care planning and member needs.
• Perform clinical triage and collaborate with care teams to develop and implement care plans.
• Document clinical reviews, rationale, and determinations within required timeframes and systems.

Education

Master’s degree in Physical Therapy

Licensed by the North Carolina Board of Physical Therapy Examiners

Tools

Utilization Management

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.

Physical Therapist - UM

Full Time Professionals *Trillium office based location as specified below: US 2 Attachments

2 days ago Requisition ID: 3408

Salary Range: $80,000.00 To $113,000.00 Annually

Pay Plan Title: Physical Therapist

Working Title: Physical Therapist – UM

FLSA Status: Exempt

Posting Salary Range: $80,000 to $113,000

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:

• 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 Physical Therapist – UM to join our team! The Physical Therapist facilitates, coordinates, and approves medically necessary reviews in accordance with established criteria. The role evaluates clinical information, applies medical necessity criteria, and provides consultation to ensure appropriate utilization and timely, accurate determinations, notifications, and reconsiderations.

On a typical day, you might:

• Perform medical reviews to determine medical necessity and appropriate level of care.
• Interpret clinical documentation, diagnoses, and treatment plans to support determinations.
• Conduct clinical assessments and provide recommendations to support care planning and member needs.
• Perform clinical triage and collaborate with internal and external care teams to develop and implement care plans.
• Document clinical reviews, rationale, and determinations within required timeframes and systems.

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 available for some positions 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:

• Master’s degree in Physical Therapy and one (1) year of utilization management or utilization review experience, including acute inpatient care, outpatient care, rehabilitation, behavioral health, compliance, or use of evidence-based clinical decision support tools (e.g., MCG, InterQual).
• Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist.
• Must have a valid driver’s license.
• Must reside within North Carolina.
• Must be able to travel within catchment as required.

Preferred:

• Clinical experience in a managed care organization, health plan or hospital setting.
• Utilization Management certification or equivalent certification.

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)

Tips for Applying to or Interviewing with Trillium 2.3.26 .pdf