Quality Management Specialist II -IDD

Trillium Health Resources; Greenville (NC); Remote; USD 56,000 - 70,000; Full time

Benefits offered by this job

Work from home

Health insurance

401k with match

PTO + holidays

PSLF eligibility

Job summary

Trillium Health Resources invites applications for a Quality Management Specialist II - IDD to monitor Home and Community Based Services for HCBS-compliant plans. The role emphasizes adherence to HCBS rules and coordination with the Care Management team to ensure quality support.

The successful candidate will have NC QP status via licensure or equivalent experience, with specific paths for RN, MSW/BSW, or related credentials and at least two years in MH/DD/SA settings.

Qualifications

• Must meet Qualified Professional (QP) status per NC requirements.
• RN licensed in NC with MH/DD/SA experience (4 years) or equivalent.
• Bachelor’s or higher in human services with MH/DD/SA experience (2+ years) or related supervision experience.

Responsibilities

• Monitor HCBS services for compliance with state and Medicaid regulations.
• Conduct announced or unannounced monitoring visits, including nights/weekends.
• Communicate findings and follow up on concerns with care management teams.
• Ensure waiver requirements are adhered to and documentation is accurate.

Skills

QP status

Valid driver’s license

Travel within NC catchment

Education

Master’s degree in human services

Bachelor’s degree in human services

RN licensed in NC

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.

Quality Management Specialist II -IDD

Full Time Professionals Greenville, NC, US 2 Attachments

2 days ago Requisition ID: 3450

Salary Range: $56,270.00 To $69,898.00 Annually

Pay Plan Title:Quality Management Specialist II (NE)

Working Title:Quality Management Specialist II - IDD

Cost Center:8500/Plan Based Care Management

FLSA Status:Non-Exempt

Posting Salary Range:$56,270 - $69,898

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.

What We’re Looking For

Trillium Health Resources has a career opening for a Quality Management Specialist II - IDD to join our team! The Quality Management Specialist II - IDD is responsible for ensuring that services for members who receive Home and Community Based Services (HCBS) of Residential, Day Support, and Supported Employment are monitored based on the HCBS requirements during the member’s plan year, as well as ensuring other monitoring requirements for Innovations Waiver services are adhered to. The focus of this position is to ensure compliance with the final HCBS rule. This position requires a dynamic, proactive approach to assessment, monitoring, and working with the Care Management team to ensure quality support and consistent adherence to waiver requirements.

On a typical day, you might:

• Monitor services for compliance with state standards, waiver requirements, and Medicaid regulations, as applicable (including review of service documentation, review of claims, etc.).
• Promote satisfaction with services through ongoing communication and timely follow-up on any concerns/issues.
• Make announced/unannounced monitoring visits to members, including nights/weekends as needed
• Ensure that services are monitored as needed (including direct observation of service delivery, telephonic contact, emails, etc.) in all settings.

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:

• Must meet Qualified Professional (QP) status per NC requirements through one of the following:
  • Fully licensed by the NC governing board regulating human services professions; OR
  • Fully licensed RN who is licensed to practice in the state of NC by the NC Board of Nursing who also has four (4) years of full-time experience with the MH/DD/SA population served. OR
  • A graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has one year of full-time, pre or postgraduate degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
  • A graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre- or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has two years of full-time, pre or post bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; OR
  • A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre- or post-bachelor's degree accumulated MH/DD/SA experience with the MH/DD/SA population, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
• Additionally, if serving members with LTSS needs, must meet the minimum QP requirements defined above and shall additionally have at a minimum two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience. This experience may be concurrent with the years of experience required to become a Qualified Professional.
• Must have a valid driver’s license.
• Must reside within Trillium's North Central Region, which includes the following counties: Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, and Wilson.
• Must be able to travel within catchment as required.

Preferred:

• Licensure/certification may be accepted as noted above.
• Professional experience focused on working with individuals with Intellectual Developmental Disabilities (IDD) or Traumatic Brain Injury (TBI) Innovations populations.

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

Attachments (2)

Tips for Applying to or Interviewing with Trillium 2.3.26 .pdf

GOVCL011 - Quality Management Specialist II (NE).pdf