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Entry Level Occupational Therapy Utilization Review Jobs

UHS

Utilization Review Coordinator

Augusta, GA · On-site

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

Cascadia of Boise

Occupational Therapy

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

UHS

Utilization Review Coordinator

Augusta, GA · On-site

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

UHS

Director of Utilization Review

Gulfport, MS

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UHS

Director of Utilization Review

Gulfport, MS

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

Clearwater of Cascadia

Occupational Therapist

Orofino, ID · On-site

$37.75 - $49.75/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

Cascadia of Lewiston

Occupational Therapist

Lewiston, ID · On-site

$40.25 - $53/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

Clearwater of Cascadia

Occupational Therapist

Orofino, ID · On-site

$37.75 - $49.75/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

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All JobsEntry Level Occupational Therapy Utilization Review Jobs

Entry Level Occupational Therapy Utilization Review information

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$45

$67

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

As of Jul 6, 2026, the average hourly pay for entry level 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 is an Entry Level Occupational Therapy Utilization Review position?

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, and why are they important?

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.

What cities are hiring for Entry Level Occupational Therapy Utilization Review jobs? Cities with the most Entry Level 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 Entry Level Occupational Therapy Utilization Review jobs? States with the most job openings for Entry Level Occupational Therapy Utilization Review jobs include:
Entry Level Occupational Therapy Utilization Review jobs near you
Utilization Review Specialist

Utilization Review Specialist

BriteLife Recovery

Englewood, NJ • On-site

Full-time

Posted 11 days ago

Job description

) What you will be doing?
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife Recovery. This role ensures timely approvals and continued stay authorizations from insurance payers by effectively communicating clinical information and advocating for appropriate levels of care.
The UR Specialist works closely with clinical staff, admissions, medical providers, and third-party payers to support patient access to treatment and maintain financial viability for the organization. Success in this role requires strong clinical judgment, documentation skills, familiarity with ASAM criteria, and a working knowledge of insurance guidelines specific to behavioral health
What tasks are required?
  • Conduct initial and concurrent reviews for detox, residential, partial hospitalization (PHP), and intensive outpatient (IOP) levels of care.
  • Obtain prior authorizations and continued stay approvals from commercial and other payers by submitting timely clinical reviews and documentation.
  • Communicate clinical necessity of services based on ASAM criteria and DSM-5 diagnoses.
  • Track and document all insurance-related communications, decisions, and outcomes in the EHR and UR logs.
  • Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up-to-date clinical information for reviews.
  • Ensure treatment plans, progress notes, and assessments are completed on time and accurately reflect medical necessity.
  • Participate in multidisciplinary team meetings to stay informed on client progress and treatment goals.
  • Assist staff with proper documentation practices to support insurance justification and compliance.
  • Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols.
  • Monitor trends in denials, approvals, and length-of-stay metrics to support organizational performance improvement.
  • Assist in appeals and peer reviews by gathering required documentation and preparing clinical summaries.
  • Provide training and support to staff on documentation best practices related to utilization review.
  • Special projects as assigned

What we need from you?
  • Minimum of 2-3 years of experience in utilization review, case management, or insurance coordination in a behavioral health or substance use treatment setting.
  • Knowledge of ASAM criteria and levels of care for substance use and co-occurring disorders.
  • Familiarity with managed care principles, insurance authorizations, and payer requirements.
  • Bachelor's degree in Nursing, Social Work, Psychology, or a related field required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred.
  • Excellent organizational, communication, and time management skills.
  • Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools.
  • Bachelor's degree in Nursing, Social Work, Psychology, or a related field required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred.
  • Experience or working knowledge with Collaborative MD and KIPU
  • Experience in detox and residential SUD programs.
  • Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna).
  • Strong clinical writing skills and familiarity with medical necessity language.
  • Ability to advocate for clients while balancing payer relationships and compliance.
  • Ability to lift up to 25 pounds.
  • Ability to walk up and down stairs during emergency drills or situations.

All ARS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. ARS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

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