Quality Management Specialist III – Population Health

🔥 15 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $68.9k - $92.1k / year

⏰ Full Time

🟢 Junior

👻 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

• Develop, review and evaluate operating policies, practices and procedures with department-wide impact • Provide critical feedback on outcomes to enhance effectiveness • Manage, review, and analyze operations and services for adherence to program goals and objectives • Use databases, dashboards, performance outcome data and reports to analyze operations and recommend changes • Collaborate with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations • Serve as a subject matter expert regarding special populations, regulatory requirements, policies, procedures, programs and staff support • Provide staff education and training on relevant program components • Oversee utilization of resources for specialty populations, including coordination of secure transportation requests

🎯 Requirements

• Bachelor’s degree in Nursing and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions; OR Master’s degree in a Health or Human Services field and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions • Fully licensed by the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS or RN • Valid driver’s license • Must reside within North Carolina • Must be able to travel within catchment as required • Preferred: At least one (1) year of clinical policy review, conducting audits, or quality improvement review experience • Must pass a drug test as a condition of employment

🏖️ Benefits

• A collaborative, mission-driven work environment • Competitive benefits • Work-from-home options for most positions • Opportunities for professional growth in a diverse inclusive culture • Flexible work schedules with management approval for some roles • 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