Physical Therapist - UM
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What you'll do
- Perform medical reviews to determine medical necessity and appropriate level of care.
- Interpret clinical documentation, diagnoses, and treatment plans to support determinations.
- Conduct clinical assessments and provide recommendations to support care planning and member needs.
- Perform clinical triage and collaborate with internal and external care teams to develop and implement care plans.
- Document clinical reviews, rationale, and determinations within required timeframes and systems.
What they're looking for
- Master’s degree in Physical Therapy and one (1) year of utilization management or utilization review experience, including acute inpatient care, outpatient care, rehabilitation, behavioral health, compliance, or use of evidence-based clinical decision support tools (e.g., MCG, InterQual).
- Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
Nice to have
- Clinical experience in a managed care organization, health plan or hospital setting.
- Utilization Management certification or equivalent certification.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Pay Plan Title: Physical Therapist
Working Title: Physical Therapist – UM
FLSA Status: Exempt
Posting Salary Range: $80,000 to $113,000
Office Location: Remote within North Carolina
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 We’re Looking For
Trillium Health Resources has a career opening for a Physical Therapist – UM to join our team! The Physical Therapist facilitates, coordinates, and approves medically necessary reviews in accordance with established criteria. The role evaluates clinical information, applies medical necessity criteria, and provides consultation to ensure appropriate utilization and timely, accurate determinations, notifications, and reconsiderations.
On a typical day, you might:
- Perform medical reviews to determine medical necessity and appropriate level of care.
- Interpret clinical documentation, diagnoses, and treatment plans to support determinations.
- Conduct clinical assessments and provide recommendations to support care planning and member needs.
- Perform clinical triage and collaborate with internal and external care teams to develop and implement care plans.
- Document clinical reviews, rationale, and determinations within required timeframes and systems.
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 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
Qualifications
Required:
- Master’s degree in Physical Therapy and one (1) year of utilization management or utilization review experience, including acute inpatient care, outpatient care, rehabilitation, behavioral health, compliance, or use of evidence-based clinical decision support tools (e.g., MCG, InterQual).
- Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
Preferred:
- Clinical experience in a managed care organization, health plan or hospital setting.
- Utilization Management certification or equivalent certification.
Deadline for Application: Monday, September 21, 2026 at 11:59pm
How to Apply
To 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 duties
- Education details (degree type, date awarded, institution, field of study)
- Licensure/certification information, if applicable
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.
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Company
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