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Entry Level Occupational Therapy Utilization Review Jobs

Integrated Resources

Utilization Review RN

Watertown, NY · On-site

Utilization Review RN Integrated Resources, Inc is a premier staffing firm recognized as one of the ... Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. We are seeking ...

Charlie Health

Utilization Review Specialist

$62K - $70K/yr

Completes peer to peer reviews with insurance MDs to advocate for treatment post first line denial ... Master's-Level Clinicians: LCSW, LMFT, LPC, or LCPC. * 2+ years of experience in a utilization role ...

Charter Healthcare

Occupational Therapist

Loveland, CO · On-site

$40/hr

Occupational Therapy Assistants QUALIFICATIONS: Education: Graduated after successful completion of ... utilization review as needed. 10. Submits supplemental orders at start of care and whenever the ...

Boise of Cascadia, LLC

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.

Boise of Cascadia, LLC

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.

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.

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

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 ...

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Entry Level Occupational Therapy Utilization Review information

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

As of Sep 7, 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?

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 cities are hiring for Entry Level Occupational Therapy Utilization Review jobs?

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

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What states have the most Entry Level Occupational Therapy Utilization Review jobs?

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Entry Level Occupational Therapy Utilization Review jobs near you

Utilization & Authorization Review Coordinator - Rehab

Memorial Health System of Southwest Oklahoma

Lawton, OK • On-site

Full-time

Posted 19 days ago

Job description

DEFINITION: All duties and criteria-based standards within this document will be performed according to established policies, procedures, and guidelines within the department and hospital. The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech therapies. This role acts as a bridge between the clinical therapy team, patients, and insurances to secure approvals, prevent claim denials, and optimize the delivery of care within plan guidelines. Reviews patient records for documentation of Intensity of Service and Severity of Illness and compares against established criteria. Assists the medical staff with potential denials and interacts to complete the review process. Completes insurance company clinical review updates. Obtains authorization and current plan of care documents for outpatient therapies.

EDUCATION: High school diploma. College degree preferred.

LICENSURE/CERTIFICATION/REQUIREMENTS: This role can be administrative, however, a clinical licensure is preferred. Must have 2+ years experience in healthcare utilization management. Must have computer competency.

PREFERRED QUALIFICATIONS:

  • Clinical Degree

  • Experience w/ Medical coding (ICD, CPT) and payor web portals

  • Experience in an outpatient therapy clinical setting.

  • Prior medical record background, plus prior experience in utilization review are preferred.


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