UM Director - Physical Health

Join to apply for the UM Director - Physical Health role at Trillium Health Resources 4 days ago Be among the first 25 applicants Join to apply for the UM Director - Physical Health role at Trillium Health Resources 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: 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 Referrals increase your chances of interviewing at Trillium Health Resources by 2x Inferred from the description for this job Medical insurance Vision insurance 401(k) Get notified about new Health Director jobs in North Carolina, United States . 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