Quality Management Specialist II - IDD

Pay Plan Title: Quality Management Specialist II (NE) Working Title: Quality Management Specialist II - IDD Cost Center: 8500/Plan Based Care Management FLSA Status: Non-Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote in North Carolina and within 75 miles of Trilliums Southern Region (See requirements section for included counties) POSTING DETAILS: Make an Impact 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! What Were Looking For Trillium 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 members 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. []{style="font-size: 7pt; font-family: 'Times New Roman'; font-weight: normal; font-st "}