Physical Therapist - UM

Pay range: $80,000 to $113,000. Office location: Remote within North Carolina. FLSA status: Exempt. Deadline for application: Monday, September 21, 2026 at 11:59pm.

About the Role

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.

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.

Responsibilities

• 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.

Required Qualifications

• 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 Qualifications

• Clinical experience in a managed care organization, health plan or hospital setting.
• Utilization Management certification or equivalent certification.

Benefits

• 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.