Population Health Operations Clinical Oversight Clinician

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $66.2k - $88.6k / year

⏰ Full Time

🟢 Junior

⚙️ Operations

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance • Mental Health • Substance Use

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

• Developing policies, procedures, practices, and systems that support the provision of care management services • Demonstrating clinical expertise for specific complex and/or rising risk member populations • Identifying members that are appropriate for population health programs utilizing data informatics • Providing interventions and education to promote health prevention and promotion • Managing, reviewing, and analyzing operations and services provided for adherence to program goals and objectives • Collaborating with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations • Serving as a subject matter expert regarding identified special populations, regulatory requirements, policies, procedures, programs and staff support; provide staff education and training on relevant program components • Overseeing utilization of resources used by specialty population

🎯 Requirements

• Master’s degree in a health or human services field • 1 year of experience providing care to complex individuals with Behavioral Health conditions • Fully licensed by the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS or RN • Must have a valid driver’s license • Must reside within North Carolina • Must be able to travel within catchment as required • At least 1 year of clinical policy review, conducting audits, or quality improvement review experience (preferred)

🏖️ Benefits

• 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