Quality Management Specialist II (NE) - IDD

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 in North Carolina and within 75 miles of Trillium’s Southern Region (See requirements section for included counties) 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. A collaborative, mission-driven work environment 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 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 NC Local Government Retirement Pension (defined-benefit plan) systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook 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. ORA 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; ORA 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; ORA 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 in North Carolina and within 75 miles of Trillium’s Southern Region, which includes the following counties: Bladen, Brunswick, Columbus, Hoke, Lee, Moore, New Hanover, Robeson, and Scotland. Must be able to travel within catchment as required. Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1). 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. Experience with IDD Services, monitoring service implementation, and Health and safety needs. Deadline for Application November 13, 2026 at 11:59 PM 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. #J-18808-Ljbffr Trillium Health Resources