Physical Therapist

🔥 2 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $80k - $113k / year

⏰ Full Time

🟢 Junior

😶‍🌫️ Therapist

👻 Ghost score 0%

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Facilitate, coordinate, and approve medically necessary reviews in accordance with established criteria • Evaluate clinical information and apply medical necessity criteria • Provide consultation to ensure appropriate utilization and timely, accurate determinations, notifications, and reconsiderations • Perform medical reviews to determine medical necessity and appropriate level of care • Interpret clinical documentation, diagnoses, and treatment plans to support determinations • Conduct clinical assessments and provide recommendations to support care planning and member needs • Perform clinical triage • Collaborate with internal and external care teams to develop and implement care plans • Document clinical reviews, rationale, and determinations within required timeframes and systems

🎯 Requirements

• Master’s degree in Physical Therapy • One (1) year of utilization management or utilization review experience, including acute inpatient care, outpatient care, rehabilitation, behavioral health, compliance, or use of evidence-based clinical decision support tools (e.g., MCG, InterQual) • Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist • Must have a valid driver’s license • Must reside within North Carolina • Must be able to travel within catchment as required • Clinical experience in a managed care organization, health plan or hospital setting (preferred) • Utilization Management certification or equivalent certification (preferred) • Resume must include employer name, dates of service, average hours worked per week, and essential job duties • Resume must include education details: degree type, date awarded, institution, and field of study • Resume must include licensure/certification information, if applicable • All candidates must pass a drug test as a condition of employment

🏖️ Benefits

• Competitive benefits • Work-from-home options for most positions • Flexible work schedules available for some positions with management approval • 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) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies