Tailored Care Management Provider Network Manager

Trillium 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 environment
• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture

Every 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!, Trillium Health Resources has a career opening for a Tailored Care Management (TCM) Provider Network Manager to join our team! The TCM Provider Network Manager is responsible for maintenance of the TCM provider network through effective contract monitoring, relationship development, and provider support. This role collaborates with Advance Medical Home Plus (AMH+) and Care Management Agency (CMA) providers to ensure that Trillium meets all required benchmarks. The TCM Provider Network Manager is responsible provider oversight and compliance, including meeting facilitation, technical assistance, and monitoring. The TCM Provider Network Manager supervises a team of TCM Coordinators and develops processes and protocols to ensure uniformity in supporting, monitoring, and ensuring contract compliance of all certified and contracted TCM Providers. On a typical day, you might:

• Lead and manage TCM Coordinators to facilitate effective management and support of provider-based TCM. Drive the development and maintenance of a robust provider-based TCM network by supporting the recruitment and development of Care Management Agencies (CMAs) and Advanced Medical Homes (AMH+s).

• Build relationships with TCM providers to assess delivery of TCM, guide successful implementation, and provide technical assistance to ensure compliance with TCM requirements.
• Collaborate with providers to identify and implement process improvements and best practices to ensure high-quality care.
• Effectively facilitate project meetings with providers and staff to provide technical assistance, continually assess provider capacity and determine readiness to provide TCM.
• Participate in TCM Readiness Reviews for certified providers as part of a cross-functional team, as required by contract.
• Participate in and lead training meetings, conference calls, and web-based programs to stay updated on TCM requirements and guidelines.
• Engage in relevant trainings and meetings with organizations such as NCDHHS, AHEC, and NCQA., After 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. #Innovation #Technology #Careers #NorthCarolina #BehavioralHealth lina #BehavioralHealth

Do you have a valid Driver’s License license?, Do you have experience in Training delivery?, Do you have a Master’s degree?, * Associate’s degree and three (3) years of experience in network management, contracting, data management, practice management, or related healthcare operations; OR

• Bachelor’s degree and one (1) year of experience in network management, contracting, data management, practice management, or related healthcare operations; OR
• Equivalent combination of education/experience.
• Must have a valid driver’s license.
• Must reside within North Carolina.
• Must be able to travel within catchment as required.

Preferred:

• Master’s degree in a Human Services field.

• Supervision of two (2) or more employees.
• Fully licensed in the State of North Carolina as an LCSW, LCMHC, LMFT or LPA.

3.43.4 out of 5 stars United States $67,632 - $90,457 a year - Full-time, Pulled from the full job description

• Loan forgiveness
• Health insurance
• 401(k) matching
• Paid time off
• 401(k) 5% Match
• Flexible spending account
• Paid holidays, 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 with some roles 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) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies