Network Auditing Coordinator

Trillium Health Resources

Network Auditing Coordinator at Trillium Health Resources managing compliance for Providers within the mental health and substance use sectors. Ensuring quality audits and provider monitoring for network services.

Posted 7/14/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJunior💰 $56,270 - $69,898 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in maintaining network quality and compliance with healthcare regulations, while effectively facilitating communication and collaboration with providers. Possesses strong experience in conducting quality audits and implementing corrective action plans within the MH/DD/SA population.

Highest-signal resume keywords

Qualified Professional (QP) StatusLicensed RN in NCMaster's Degree in Human ServicesExperience with MH/DD/SA PopulationValid Driver's License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider MonitoringQuality AuditsPlans of Corrections (POC)Inter-rater ReliabilityCompliance with Federal and State Laws

Soft Skills

CollaborationCommunicationTechnical Assistance

Industry Keywords

MH/DD/SASubstance Abuse CounselingAccreditation StandardsHuman Services Professions

About the role

Key responsibilities & impact

Maintain network quality by performing provider monitoring to ensure compliance with rules, regulations and service definition requirements.
Facilitate the resolution of deficiencies through the issuance, review and acceptance of Plans of Corrections (POC) and monitoring implementation of these plans.
Establish a partnership and collaboration with Trillium Health Resources Network providers by providing technical assistance/guidance, facilitating communication, and possible inclusion in various committees as necessary.
Conduct quality audits in an objective, systematic, unbiased manner.
Ensure that quality health care determinations are being made based on the provider’s contract/policies and procedures/accreditation standards, as well as federal and state laws/mandates.
Implement and maintain Inter-rater Reliability when conducting reviews.

Requirements

What you’ll need

Must meet Qualified Professional (QP) status.
Fully licensed by the NC governing board regulating Human Services professions; OR
Fully 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; OR
A 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; OR
A 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; OR
A 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.
Must have a valid driver’s license.
Must reside within 75 miles of Trillium’s South Central Region, which includes the following counties: Carteret, Craven, Duplin, Jones, Lenoir, Onslow, Pender, Sampson, and Wayne.
Must be able to travel within catchment as required.

Benefits

Comp & perks

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