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Contract Occupational Therapy Utilization Review Jobs

Tuba City Regional

Utilization Review

Tuba City, AZ · On-site

Callback on weekends/holidays Contract Length: 13 weeks Start Date: 09/07/2026 The Utilization Review (UR) Nurse ensures that patients receive appropriate care by verifying medical necessity ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

$55-$60 per hour Canton, MA Contract Duration: 6 Month Contract (Possibility of Extension) Position ... Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications ...

Pediatric Health Choice

Occupational Therapist

Lakeland, FL · On-site

$37.50 - $49.50/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

Pediatric Health Choice

Occupational Therapist

Lakeland, FL · On-site

$35.75 - $47/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

Pediatric Health Choice

Occupational Therapist

Lakeland, FL · On-site

$37.50 - $49.25/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

Pediatric Home Service

Occupational Therapist

Lakeland, FL · On-site

$37.50 - $49.50/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

Pediatric Home Service

Occupational Therapist

Lakeland, FL · On-site

$35.75 - $47/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

Pediatric Health Choice

Occupational Therapist

Lakeland, FL · On-site

$35.75 - $47/hr

Contract Occupational Therapist - Pediatric Health Choice (PPEC) Pediatric Health Choice is a ... Collaborate with the interdisciplinary team during care planning and progress reviews * Ensure ...

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Contract Occupational Therapy Utilization Review information

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$67

How much do contract occupational therapy utilization review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for contract occupational therapy utilization review in the United States is $45.37, according to ZipRecruiter salary data. Most workers in this role earn between $38.70 and $50.96 per hour, depending on experience, location, and employer.

What are some common challenges faced in a contract occupational therapy utilization review role, and how can they be managed?

One common challenge in a Contract Occupational Therapy Utilization Review role is balancing the need to ensure care appropriateness with insurance guidelines and regulatory requirements. Professionals in this position often need to review clinical documentation thoroughly and communicate effectively with both therapists and insurance representatives to clarify recommendations and coverage. Managing tight deadlines and adapting to evolving healthcare policies can also be demanding. Staying organized, keeping up-to-date with current guidelines, and fostering strong professional relationships can help manage these challenges successfully.

What is the difference between Contract Occupational Therapy Utilization Review vs Contract Occupational Therapy Case Manager?

AspectContract Occupational Therapy Utilization ReviewContract Occupational Therapy Case Manager
Primary RoleReviewing therapy requests for medical necessity and appropriatenessCoordinating patient care, discharge planning, and therapy services
Work EnvironmentInsurance companies, healthcare facilities, telehealthHospitals, clinics, outpatient centers
CredentialsOccupational therapy license, possibly certifications in utilization reviewOccupational therapy license, case management certification often preferred

While both roles involve occupational therapy, Contract Occupational Therapy Utilization Review focuses on evaluating therapy requests for necessity, whereas Contract Occupational Therapy Case Managers coordinate ongoing patient care and discharge planning. Understanding these distinctions helps professionals choose the right career path or job opportunity.

What are the key skills and qualifications needed to thrive as a contract occupational therapy utilization review specialist?

To excel in Contract Occupational Therapy Utilization Review, you need a solid background in occupational therapy, a current OT license, and experience with clinical documentation and case review. Familiarity with utilization management software, medical coding (ICD-10, CPT), and knowledge of insurance guidelines are typically required. Attention to detail, critical thinking, and strong written communication skills help professionals make sound, evidence-based determinations and collaborate with providers. These competencies ensure accurate, timely reviews that support appropriate patient care and regulatory compliance.

What is a contract occupational therapy utilization review?

A Contract Occupational Therapy Utilization Review is a specialized role in which an occupational therapist evaluates the medical necessity, appropriateness, and efficiency of occupational therapy services provided to patients, typically for insurance or healthcare organizations. This position is usually contract-based, meaning the therapist is hired for a specific period or project rather than as a full-time employee. The main goal is to ensure that therapy services meet clinical standards and adhere to payer guidelines, helping to control costs and improve patient outcomes. Occupational therapists in this role review documentation, recommend approvals or denials for services, and may collaborate with providers to clarify treatment plans.

What cities are hiring for Contract Occupational Therapy Utilization Review jobs?

Cities with the most Contract Occupational Therapy Utilization Review job openings:

What are the most commonly searched types of Occupational Therapy Utilization Review jobs?

The most popular types of Occupational Therapy Utilization Review jobs are:

What states have the most Contract Occupational Therapy Utilization Review jobs?

States with the most job openings for Contract Occupational Therapy Utilization Review jobs include:

Contract Occupational Therapy Utilization Review jobs near you

Utilization Review, Health Plan - Occupational Therapist

Cook Children's Health Care System

Dodson, TX • On-site

$35.50 - $46.75/hr

Other

Posted 4 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Utilization

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Responsible for the coordination and efficient utilization of therapy health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager to assure the provision of quality care throughout the continuum of care. The Occupational Therapist Utilization Management (OT -UM) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers, health plan medical directors, and all other members of the health care and health plan team. The OT-UM Reviewer assesses and identifies the patients clinical findings and determines, in conjunction with the Medical Director utilizes protocols, pathways, and evidence based clinical tools, to assess the level of therapy care appropriate for the member. The OT UM Reviewer communicates with providers of care/services to facilitate appropriate levels of therapy care. The OT UM Reviewer participates with the Department Manager reviewing and updating evidence-based standards of occupational and other therapy care and services for CCHP.

Additional Information:

Responsible for the coordination and efficient utilization of therapy health care resources for Cook Childrens Health Plan (CCHP) members. Works with the Department Manager to assure the provision of quality care throughout the continuum of care. The Occupational Therapist Utilization Management (OT -UM) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers, health plan medical directors, and all other members of the health care and health plan team. The OT-UM Reviewer assesses and identifies the patients clinical findings and determines, in conjunction with the Medical Director utilizes protocols, pathways, and evidence based clinical tools, to assess the level of therapy care appropriate for the member. The OT UM Reviewer communicates with providers of care/services to facilitate appropriate levels of therapy care. The OT UM Reviewer participates with the Department Manager reviewing and updating evidence-based standards of occupational and other therapy care and services for CCHP.
Education:

  • Bachelors or Master's degree in Occupational Therapy.

  • Health plan utilization management experience preferred.

  • Strong skills in the following areas: oral and written communication, critical thinking, organization and time management, and customer service.

Certification/Licensure:

  • Current, unrestricted licensure for Occupational Therapist in the state of Texas.

About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

What Cook Children's Health Care System employees say

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Benefits

Hours and flexibility

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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