Trillium Health Resources

Customer Support

• Engage members who meet criteria for TCL special needs population to provide education about permanent supportive housing, supports, services, and other community resources.
• Partner with Diversion staff, Transition Coordinators, and Next Step Rehousing Team to facilitate transition planning and progression through the TCL process for those members who desire permanent supportive housing in the community.
• Collaborate with Trillium Integrated Care Nurse, OT, COTA and Clinician to identify complex care needs and clinical service linkage needs.
• Facilitate community integration, link to services and provide education and support for those members who choose not to transition to permanent supportive housing in the community.
• Provide education and support to members and guardians in learning about and exercising rights and responsibilities.

Peer Support Specialist

Manager

• Develop, maintain, and advance collections of related projects with a variety of stakeholders across the enterprise to effectively deliver organization capabilities supporting strategic and operational demands.
• Accountable for the oversight and governance of a wide variety of IT projects and programs, varying in size and scope from large-scale transformational projects to a program portfolio of related initiatives, ensuring they meet business outcomes.
• Demonstrate a deep understanding of business acumen and organizational knowledge between administrative, clinical, human resource, information technology, and quality functions including the interaction and interdependencies of each business unit.
• Develop, maintain, and execute large-scale comprehensive projects or integrated program plans, including charters, scope definition, communication plans, roadmaps, resource allocation, timelines, milestones, deliverables, risk registers, and dependency management across the portfolio.
• Lead and supervise a team of Project Managers and Project Analysts, providing talent development, coaching, performance evaluations, and overseeing the requisition process from candidate review and selection to new staff onboarding.

Senior Manager – IT Projects and Programs

• Facilitate person centered planning meetings to coordinate care and services
• Identify, coordinate, and assist participants in gaining access to needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
• Assist with completion of 1915 (I) assessments per member needs
• Inform participants about available LTSS required needs assessments, the care plan process, service alternatives and service delivery options
• Provide education and support to members in learning about and exercising rights and responsibilities, and grievance process
• Complete Discovery activities (information gathering and assessment) as a component of the planning process
• Assists members/legally responsible persons in choosing service providers, ensuring objectivity

LTSS Care Manager

• Engage members in the care coordination/care management process.
• Provide education about all available services, natural and community supports, treatment options, diagnosis, etc.
• Provide linkage to needed psychological, behavioral, educational, physical, and dental evaluations.
• Facilitate referrals for health-related services, community-based resources and social support services, and community reintegration supports.
• Evaluate the outcome of the care plan and reintegration supports.

State Hospital Care Manager

• Implement and manage the execution of training programs developed in collaboration with the Training Development Director, ensuring alignment with organizational goals and compliance requirements.
• Develop and manage data collection processes to track training effectiveness, learner engagement, and performance outcomes.
• Develop project plans, timelines, and milestones for training initiatives, tracking progress and addressing any obstacles.
• Ensure training content meets regulatory standards and contract requirements, compiling reports for leadership review.
• Manage a team of training specialists and instructional designers, conducting performance evaluations, mentoring staff, and ensuring adherence to established training timelines and goals.

Training Development Manager

• Provide non-clinical administrative support to the Member Services Department related to member mailings.
• Assist with returned mail based on state reporting requirements.
• Collect, monitor and organize data needed for various databases, reports or reviews.
• Participate in various cross functional projects or tasks.
• Process incoming and outgoing mail.
• Monitor, sort and distribute emails and faxes.
• Schedule and coordinate meetings, events, interviews, appointments, and/or other similar activities.
• Prepare, transcribe, compose, type, edit, and distribute agendas and/or minutes of meetings.

Member Services Support Specialist

• Direct Supervision of the RCT Supervisors of Care Management and clinical activities performed by the Regional Care Team.
• Provide ongoing advocacy and education regarding MH/SU conditions and best practices in treatment.
• Ensure active engagement in tailored care management, collaboration with members, treating providers, and their support system, to address issues, concerns, barriers to treatment, and services/supports.
• Participate in weekly Regional Managers meetings, Regional Leadership Team meetings, and other Department and Organization meetings.
• Review referrals to the Regional Care Team and check for TCM eligibility and authorization, and triage to best fit regional team.

Regional Manager

• Assist the member supported to direct the planning process/plan development to the extent desired by the member.
• Facilitate timely development of the Comprehensive Care Management Assessment, Individual Support Plan/Care Plan, Crisis Plan, 1915(i) Assessment, and other assessments as needed.
• Collaborate with members supported and members of the support team to ensure development of a comprehensive plan that reflects the member’s needs and desired life goals, as well as the physical, behavioral health, and social determinant needs, service delivery, and health and safety of the member.
• Responsible for ensuring Care Coordination engagement, collaboration with members, and families to address issues, concerns, barriers to assessment and services/supports.
• Provide resources and information to members, parents, and caregivers, as needed.

Pediatric Complex Care Manager

General Counsel

• Implement policies and legal strategies to manage provider-related liabilities from inception through litigation.
• Provide legal and risk analysis, correspondence, internal and external coordination, and conduct negotiations to achieve desirable outcomes.
• When feasible, conduct litigation, including administrative hearings related to Medicaid appeals.
• Provide day-to-day support to business units in resolving contract, legal, compliance, and regulatory matters.
• Review and develop contracts, including complex commercial contracts and contracts with North Carolina Department of Health and Human Services, assist in contract negotiation and monitoring and provide legal advice in the event of contract disputes.
• Provide legal advice in addressing non-compliance, terminations and related problems.
• Review and approve all final contracts as to form and with regard to legal and regulatory compliance.
• Provide education to Trillium staff on legal issues as requested; pursue professional development and continuing legal education by attending workshops/conferences related to health law and regulations.

Associate General Counsel

Analyst

• Provide first and second level support for all technology used within the agency
• Respond to Service Desk tickets
• Deploy IT equipment and test patches
• Train end-users
• Evaluate best support actions based on available resources
• Function as a backup to other IT roles as needed

IT Service Desk Analyst

Data Analyst

• Develop and implement payer analytics and economics strategies around provider rates.
• Analyze behavioral health, physical health, and pharmacy data and rates using a variety of data sources and programs including but not limited to Excel, SQL, Access, etc.
• Utilize industry trends and Medicaid fee schedules and data concepts to drive decision-making.
• Prepare presentations and other collateral materials to support rate initiatives.
• Participate in rates process improvement projects.
• Provide technical training and support to team members.

Senior Medical Economics Data Analyst

• Provide Tailored Care Management.
• Educate individuals/families on details surrounding the Registry of Unmet Needs (RUN) and offer available resources for services, supplies/equipment.
• Complete assessments and care planning activities with members and their treatment team.
• Coordinate with the member and their care team to refer and link the member to needed services and supports.

Waitlist Care Manager

Financial Planning and Analysis

• Prepare and review journal entries, accruals, and account reconciliations to ensure accuracy and integrity of the general ledger.
• Analyze financial data and create financial models for forecasting, trending, and results analysis to support business planning and decision-making processes.
• Prepare financial reports and presentations for senior management and stakeholders.
• Prepare and present accurate monthly summary of expenses and direct costs with concise action-oriented commentary and analysis.
• Compile, review, and analyze financial information/statements.