Utilization Management Specialist III - MH/SU in North Carolina at TRILLIUM HEALTH RESOURCES

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 Utilization Management Specialist III - MH/SU to join our team! The Utilization Management Specialist III - MH/SU is responsible for providing comprehensive clinical review of services requests for people who experience psychiatric symptoms related to mental health issues and/or co-occurring or co-morbid conditions or symptoms or addictions to substances and/or developmental disabilities.

On a typical day, you might:

Provide clinical review of services for members or enrollees with mental health, substance use, and/or developmental disabilities including diagnosis review, medical necessity criteria, determining member eligibility; level of care needed and making service authorization decisions regarding individual service authorizations with timely, clear, concise documentation.Provide clinical triage for members seeking services through Screening, Triage and Referral.Provide consultation and technical assistance to providers regarding clinical care needs, levels of care, Client Rights Rules, evidenced based practices, scope of practice issues etc.Provide ongoing review/staffing/consultation of treatment documentation of needs for members participating in group, family or individual services.

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 positionsHealth Insurance with no premium for employee coverageFlexible Spending Accounts24 days of Paid Time Off (PTO) plus 12 paid holidays in your first yearNC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook401k with 5% employer match and immediate vestingPublic Service Loan Forgiveness (PSLF) qualifying employerQuarterly stipend for remote work supplies

Qualifications

Required:

Master's degree in health and human services or related field and one (1) year of experience

providing Utilization Management services.

Active North Carolina licensure as:
• Licensed Clinical Social Worker (LCSW)
• Licensed Clinical Mental Health Counselor (LCMHC)
• Licensed Marriage and Family Therapist (LMFT)
• Licensed Psychological Associate (LPA)
• Licensed Clinical Addictions Specialist (LCAS)
• Registered Nurse (RN)
Must have a valid driver’s license.Must reside within North Carolina.Must be able to travel within catchment as required.

Preferred:

A minimum of two (2) years of post-Master’s experience in a clinical setting with the BH/MH/SU/IDD population.

Deadline for Application: Wednesday, October 21, 2026 at 11:59pm

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

Employer name, dates of service (month/year), average hours worked per week, and essential job dutiesEducation details (degree type, date awarded, institution, field of study)Licensure/certification information, if applicable

After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

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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