UM Director - Physical Health

Trillium Health Resources; North Carolina; Remote; USD 100.786 - 111.393; Vollzeit

Benefits dieser Stelle

Health Insurance with no premium for employee coverage

Paid Time Off (PTO) of 24 days

401k with 5% employer match

Zusammenfassung

A healthcare organization in North Carolina is seeking a UM Director for Physical Health. The role involves monitoring contract compliance, collaborating with teams, and guiding partners on utilization management. Candidates should have a Nursing background with experience in healthcare utilization management. This position offers remote work flexibility and comprehensive benefits, making a significant impact on community health.

Qualifikationen

• Three years of post-degree experience as a Registered Nurse (RN).
• Experience in Utilization Management of Physical Health Services.
• Preferred: Supervision of two or more employees.

Aufgaben

• Monitor and track utilization management resources.
• Collaborate with the utilization management team and other departments.
• Identify opportunities for process and quality improvements.

Kenntnisse

Strong communication skills

Leadership

Knowledge of healthcare utilization management tools

Ausbildung

Bachelor’s degree in Nursing

Master’s degree in Nursing or Health or Human Services field

Tools

InterQual

Milliman Care Guidelines (MCG)

Jobbeschreibung

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Trillium Health Resources provided pay range

This range is provided by Trillium Health Resources. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$100,768.00/yr - $111,393.00/yr

Direct message the job poster from Trillium Health Resources

Bridging Talent & Opportunity | Talent Sourcing Specialist | Aspiring HR Leader (aPHR Candidate)

Req.

Working Title: UM Director – Physical Health

FLSA Status: Exempt

Posting Salary Range: $100,786 – $111,393

Office Location: Remote within North Carolina.

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

Trillium Health Resources has a career opening for Unit Director for Utilization Management to join our Team. The UM Physical Health Director’s primary responsibility is to monitor contractual requirements such as timely communication and resolution of inquiries, state reporting and compliance with accreditation standards. The UM Director-Physical Health works collaboratively to provide education and offer guidance and direction to internal and external partners on matters related to Physical Health Utilization Management and Physical Health Benefits. Start making a difference in your community today and apply!

On a typical day, you might:

• Monitor and track utilization management resources
• Collaboration with the utilization management team and other departments
• Implement programs, projects and processes
• Identify opportunities for process and quality improvements
• Evaluate utilization management physical health team performance
• Assist in the development, implementation, oversight, and analysis of various reports

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• Typical working hours are 8:30am-5pm
• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications:

Education:

Bachelor’s degree in Nursing.

Preferred Education:

Master’s degree in Nursing or Health or Human Services field.

Experience:

Three (3) years of post-degree experience as a Registered Nurse (RN) and three (3) years of experience in Utilization Management of Physical Health Services.

Preferred Experience:

Supervision of two (2) or more employees

Experience with report development and data analysis

Experience with healthcare utilization management tools such as InterQual and Milliman Care Guidelines (MCG)

License/Certification:

Fully licensed in the State of North Carolina as a Registered Nurse (RN).

Must have a valid driver’s license.

Location:

Remote within North Carolina.

Must reside in NC to be considered for remote status.

Deadline for application: August 18th 2025, 11:59pm

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:

• Employer Name
• Dates of service (month & year)
• Average number of hours worked per week
• Essential duties of the job as related to the position you’re applying for
• Education
• Degree type
• Date degree was awarded
• Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate. All applicants will receive a final email when the recruitment cycle for the position has closed.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile.

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  General Business

• Industries

  Insurance

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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