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Entry Level Occupational Therapy Utilization Review Jobs in Rochester, NY

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$60 - $65/hr

... therapists when necessary * Perform ongoing review of high-risk cases and provide clinical solutions as appropriate * Engage in the Utilization Review process for assigned cases every month * Respond ...

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY

$60 - $65/hr

... therapists when necessary * Perform ongoing review of high-risk cases and provide clinical solutions as appropriate * Engage in the Utilization Review process for assigned cases every month * Respond ...

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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

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$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

Medical Director Occupational Medicine - Part Time

UR Medicine Thompson Health

Farmington, NY • On-site

$130K - $165K/yr

Part-time

Re-posted 8 days ago

Job description

Main Function:
Participates in providing medical leadership and direction in the operation and expansion of the Occupational Health programs. Responsible for the medical care rendered to patients. Participates in the development and implementation of Occupational Health programs and medical services.
Responsibilities:
    • Communicates with medical, nursing and associate staff to accomplish departmental goals and objectives.
    • Leadership of all areas of Occupational Medicine practice operations, unifying clinicians and staff toward shared goals.
    • Promotes effective utilization of resources to maximize departmental function and performance.
    • The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to collect data relative to the patients' status and age, and tailor patient care relative to age-specific needs.
    • Fosters educational opportunities, staff selection and hiring, coaching and professional discipline. Leads providers in development and performance of efficient, quality focused office practices.
    • Responsible for assuring overall quality, safety, customer satisfaction and clinical practice within the service areas of responsibility.
    • Monitors and assures compliance with departmental policies and procedures as well as outside regulatory requirements.
    • Monitors and assures meeting budgeted financial plans for areas of responsibility.
    • Liaisons with Hospital senior management on behalf of the providers. Liaisons with providers on behalf of senior management.
    • Performs clinical supervision of medical staff. Provides significant input into annual performance appraisal. Meets with associate and Director to give formal feedback to associate.
    • Actively guards the confidentiality of sensitive information including but not limited to the patients, staff and the health system.
    • Demonstrates flexibility and innovation in meeting patient and practice needs.
    • Serves as an effective negotiator and problem solver.
    • Assesses patient needs based on age, functional status, and clinical complexity.
    • Trains and oversees clinical orientation for newly hired providers. Assesses competencies, identifies learning needs and works with provider to remedy deficiencies.
    • Lives the CARES values at all times (Commitment Action Respect Excellence & Service)

Hours: Part Time, Day Shift, 0.6 FTE
Education:
  • MD or DO degree required.
  • Training in pediatric, primary care or preventative care.
  • CME coursework related to physician leadership strongly preferred.

Qualifications:
  • Prior administrative experience preferred. Required MD license from New York State.
  • Required DEA certificate.
  • Board certified in occupational medicine.
  • MRO Certification.
  • Occupational medicine experience
  • Prior administrative/supervisory responsibility preferred

Pay Range: $130,000-165,000/year based on experience
Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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