Job Details

Quality Management Specialist II (NE)Working Title: Quality Management Specialist II - IDDCost Center: 8500/Plan Based Care ManagementFLSA Status: Non-ExemptPosting Salary Range: $56,270 - $69,898Office Location: Remote within Trillium's North Central Region (See requirements section for included counties)Make an ImpactTrillium 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. We offer our employees:A collaborative, mission-driven work environmentCompetitive benefits and work-from-home options for most positionsOpportunities for professional growth in a diverse inclusive cultureEvery 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.If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!What We're Looking ForTrillium Health Resources has a career opening for a Quality Management Specialist II - IDD to join our team! 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 neededEnsure 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 positionsHealth Insurance with no premium for employee coverageFlexible Spending Accounts24 days of Paid Time Off (PTO) plus 12 paid holidays in your first yearNC Local Government Retirement Pension (defined-benefit plan)401k with 5% employer match and immediate vestingPublic Service Loan Forgiveness (PSLF) qualifying employerQuarterly stipend for remote work suppliesQualificationsRequired: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; ORFully 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 within Trillium's North Central Region, which includes the following counties: Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, and Wilson.Must be able to travel within catchment as required.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.Deadline for Application: October 23, 2026 at 11:59 PMHow to ApplyTo be considered, submit your application and resume through our ADP Career Center. Your resume must include:Employer name, dates of service (month/year), average hours worked per week, and essential job dutiesEducation details (degree type, date awarded, institution, field of study)Licensure/certification information, if applicableAfter submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You'll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.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.