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Entry Level Occupational Therapy Utilization Review Jobs in Rochester, NY

w3r Consulting

Clinical Pharmacist

Rochester, NY · On-site

$116K - $139K/yr

Utilization Management (UM) Focus: The clinical pharmacist position is responsible for and ... Medication Therapy Management (MTM) Focus: The MTM Pharmacist will be responsible for reviewing ...

w3r Consulting

Clinical Pharmacist

Rochester, NY · On-site

$55/hr

Utilization Management (UM) Focus: The clinical pharmacist position is responsible for and ... Medication Therapy Management (MTM) Focus: The MTM Pharmacist will be responsible for reviewing ...

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All JobsOccupational Therapy Utilization Review JobsEntry Level Occupational Therapy Utilization Review JobsEntry Level Occupational Therapy Utilization Review Jobs in Rochester, NY

Entry Level Occupational Therapy Utilization Review information

See Rochester, NY salary details

$23

$44

$66

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

As of Aug 18, 2026, the average hourly pay for entry level occupational therapy utilization review in Rochester, NY is $44.77, according to ZipRecruiter salary data. Most workers in this role earn between $38.17 and $50.29 per hour, depending on experience, location, and employer.

What is an entry level occupational therapy utilization review?

An Entry Level Occupational Therapy Utilization Review position involves evaluating patient records and therapy plans to ensure that occupational therapy services are medically necessary and meet insurance or regulatory guidelines. These professionals typically review documentation, communicate with therapists and providers, and make recommendations regarding the approval or denial of therapy services. They help ensure that patients receive appropriate care while helping organizations manage healthcare costs. Entry level positions usually require a background in occupational therapy and strong analytical skills, but may not require prior utilization review experience.

What are the key skills and qualifications needed to thrive as an entry level occupational therapy utilization review specialist?

To thrive as an Entry Level Occupational Therapy Utilization Review specialist, you need a background in occupational therapy, strong analytical skills, and typically a relevant healthcare degree or certification. Familiarity with medical coding systems (such as ICD-10 and CPT), utilization management software, and electronic health records (EHRs) is essential. Attention to detail, strong written communication, and collaborative problem-solving are valuable soft skills in this role. These skills and qualities are crucial for making accurate clinical assessments, ensuring compliance, and supporting efficient, quality-driven patient care decisions.

What are some typical challenges faced by entry level professionals in occupational therapy utilization review roles?

Entry level Occupational Therapy Utilization Review professionals often face the challenge of balancing clinical knowledge with administrative requirements, such as interpreting insurance guidelines and documentation standards. Navigating complex cases while ensuring compliance with payer policies and timelines can be demanding, especially when making decisions that impact patient care and reimbursement. Additionally, effective communication with therapists, providers, and insurance representatives is crucial for resolving disputes or clarifying care plans. With mentorship and ongoing training, most new reviewers quickly become more comfortable with these responsibilities.

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

AspectEntry Level Occupational Therapy Utilization ReviewEntry Level Occupational Therapy Case Manager
CredentialsOccupational Therapy Assistant (OTA) or related certificationOccupational Therapist (OT) or OTA, with case management certification
Work EnvironmentInsurance companies, healthcare facilities, or third-party review organizationsHospitals, clinics, or community health programs
Employer & Industry UsageFocuses on reviewing therapy necessity and coverageCoordinates patient care and manages therapy plans

While both roles involve working within healthcare settings and require occupational therapy credentials, the Entry Level Occupational Therapy Utilization Review primarily focuses on evaluating therapy appropriateness for insurance purposes. In contrast, the Entry Level Occupational Therapy Case Manager manages patient care plans and coordinates services. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

How do I get into an entry level occupational therapy utilization review?

To pursue an entry-level occupational therapy utilization review position, candidates typically need a bachelor's or master's degree in occupational therapy, along with licensure or certification as required by their region. Relevant skills include understanding healthcare policies, documentation, and insurance processes; familiarity with electronic health records (EHR) systems is also beneficial.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Rochester, NY?

The most popular types of Occupational Therapy Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Entry Level Occupational Therapy Utilization Review jobs?

Cities near Rochester, NY with the most Entry Level Occupational Therapy Utilization Review job openings:

Entry Level Occupational Therapy Utilization Review jobs near you

Physical Therapist - Per Diem

EPISCOPAL CHURCH HOME

Rochester, NY • On-site

$50/hr

Other

Re-posted 22 days ago

Job description

Episcopal SeniorLife Communities Mission:
We provide high quality services from skilled nursing and restorative care to housing, assisted living and community-based wellness programs. We are committed to meeting each individual's needs, in a culturally competent manner, supporting family and loved ones through transitions, and fulfilling our pledge...
Life. Inspired Every Day.
The physical therapist is responsible for overseeing the provision of physical therapy services and providing direct service to patients and residents and supervising the physical therapy assistant.
Per Diem
Pay Rate - $50.00/hour
ESSENTIAL JOB FUNCTIONS
  • Reports to Director of Rehabilitation
  • Render physical therapy treatments only with a physician's referral.
  • Provide/supervise treatment, revising as needed.
  • Recommend and assist in providing residents with functional equipment (wheelchairs, ambulatory, aids, etc.)
  • Work closely with physician, other professionals and consultants to integrate physical therapy into the multi-disciplinary team care plan.
  • Participate in patient/resident and family education and meetings, including team conferences, home evaluations and discharge planning.
  • Serve as member of skin integrity team and provide therapy-related treatment and recommendations as needed.
  • Document patient/resident admission and discharge evaluations per department policy.
  • Document progress notes to update status of those patients/residents receiving physical therapy per department policy.
  • Document readmissions, re-evaluation, consultations and other specific requests per department policy.
  • May provide supervision for no more than one physical therapy assistant.
  • May assist in arranging weekend coverage for physical therapists.
  • Track daily occupational therapy referrals to make sure they are being evaluated in a timely manner.
  • Record daily the number of treatment types provided and time spent per department policy.
  • Record daily the number of treatments provided and time spent per occupational therapy department policy.
  • Manage RUGS categories to ensure patients are placed in the appropriate categories necessary to optimize both reimbursement and time spent in therapy.
  • Assist director in maintaining oversight of daily therapy schedule in order to maximize utilization of staff.
  • Oversee provision of monthly statistics to fiscal services and administrator at the end of each month.
  • Assist in provision of in-service education, related to physical therapy, for rehabilitation personnel on an on-going basis.
  • Provide facility in-services as needed.
  • Assist in new staff orientation program as needed.
  • Attend departmental in-service, staff meetings and required facility in-services and meetings.
  • Provide acceptable dept. standard of productivity in providing therapy to residents.
  • Update skills and knowledge of occupational therapy issues/techniques related to the geriatric population.
Attend one or more professional presentations/conferences per year.
Requirements
QUALIFICATIONS:
  • Bachelor's degree plus a license to practice physical therapy
  • Two years' full time paid experience in practicing physical therapy in a nursing home or health care facility.
  • Ability to communicate effectively, both written and verbal.
  • Good organizational skills. Ability to interact courteously and tactfully with staff, residents, family members, visitors, vendors and the general public.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Performing duties of this job requires occasional sitting, walking and standing. Must be able to occasionally lift loads of 30 pounds without assistance and the ability to sit, talk, and hear is required. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, and the ability to adjust focus.
Episcopal Seniorlife is an Equal Opportunity Employer

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