Manager, Utilization Management – IDD/MH/SU

Trillium Health Resources

. Lead day-to-day utilization management operations .

Posted 11/11/2026full-timeRemote • North Carolina • United StatesMid-LevelSenior💰 $78,624 - $105,158 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in utilization management operations, including oversight of authorization workflows and staff performance. Possesses strong clinical guidance capabilities for complex authorization issues within the MH/SU/IDD population.

Highest-signal resume keywords

Utilization Management ServicesClinical Review WorkflowsNorth Carolina LicensureStaff Performance MonitoringAuthorization Workflow Management

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ManagementClinical ReviewAuthorization ProcessingDecision Accuracy MonitoringDocumentation Quality Assurance

Soft Skills

LeadershipDecision-MakingGuidance

Certifications & Qualifications

Licensed Clinical Social Worker (LCSW)Licensed Clinical Mental Health Counselor (LCMHC)Licensed Marriage and Family Therapist (LMFT)Licensed Psychological Associate (LPA)Licensed Clinical Addictions Specialist (LCAS)Registered Nurse (RN)

Industry Keywords

MH/SU/IDD PopulationAuthorization WorkflowsClinical CriteriaProgressive ExperienceHealth Services

About the role

Key responsibilities & impact

Lead day-to-day utilization management operations
Oversee staff responsible for authorization and clinical review workflows
Monitor performance and guide staff decision-making
Manage workflow execution to ensure timely, accurate determinations and consistent application of review standards
Oversee daily authorization workflows, including intake, review coordination, and determination processing
Assign work and manage staff workload to ensure timely completion of authorization activities
Monitor turnaround times, decision accuracy, and documentation quality across the team
Review cases and decisions to ensure consistent application of clinical criteria and policies
Provide clinical guidance and direction to staff on complex or escalated authorization issues

Requirements

What you’ll need

Associate's degree in health, human services, or related field and three (3) years of progressive experience providing utilization management services to the MH/SU/IDD population; OR Bachelor's degree in health, human services, or related field and one (1) year of progressive experience providing utilization management services to the MH/SU/IDD population; OR Master's degree and one (1) year of progressive experience providing utilization management services to the MH/SU/IDD population; OR Equivalent combination of education and experience.
Active North Carolina licensure as: Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Psychological Associate (LPA), Licensed Clinical Addictions Specialist (LCAS), or Registered Nurse (RN)
Must have a valid driver’s license
Must reside within North Carolina
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
Master’s degree with licensure preferred
Resume must include employer name, dates of service, average hours worked per week, and essential job duties
Application must include education details, including degree type, date awarded, institution, and field of study
Licensure/certification information must be included if applicable
Must pass a drug test as a condition of employment

Benefits

Comp & perks

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
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)
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies