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Executive Occupational Therapy Utilization Review Jobs

Protouch Staffing

Occupational Therapist

Edgartown, MA · On-site

$47.25 - $62.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Occupational Therapist (OT) Location : Edgartown, MA Full-Time & Part time Typical hours: Monday ... Monitor therapy utilization to ensure appropriate and effective service delivery. Leadership ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

Parkside Hospital

Utilization Review Specialist

Tulsa, OK · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

ECU Health

Utilization Review Specialist

Greenville, NC · On-site

$65K - $95K/yr

Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS ... occupational health screening, criminal record check, education, reference, and licensure ...

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Executive Occupational Therapy Utilization Review information

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

As of Aug 13, 2026, the average hourly pay for executive 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 the key skills and qualifications needed to thrive as an executive occupational therapy utilization review specialist?

To thrive in Executive Occupational Therapy Utilization Review, you need a solid clinical background as a licensed occupational therapist, experience in utilization review, and in-depth knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and certification as a Certified Case Manager (CCM) or similar credential is often required. Exceptional analytical thinking, attention to detail, and strong communication skills are crucial for reviewing cases and collaborating with multidisciplinary teams. These capabilities ensure effective and compliant care authorization, optimize patient outcomes, and support organizational efficiency in healthcare delivery.

What are the key challenges faced by professionals in executive occupational therapy utilization review, and how can they be managed effectively?

Professionals in Executive Occupational Therapy Utilization Review often face the challenge of balancing clinical judgment with payer guidelines, which can sometimes conflict with optimal patient care recommendations. Navigating complex insurance requirements and staying current with evolving regulations are also ongoing hurdles. Effective management involves continuous education, clear communication with both clinical teams and insurance representatives, and strong organizational skills to ensure timely and accurate reviews. Building collaborative relationships within interdisciplinary teams further helps to advocate for appropriate patient care while maintaining compliance.

What is the difference between Executive Occupational Therapy Utilization Review vs Occupational Therapist?

AspectExecutive Occupational Therapy Utilization ReviewOccupational Therapist
CredentialsLicensure, possibly additional management certificationsLicensed Occupational Therapist (OTR)
Work EnvironmentAdministrative, review settings, healthcare organizationsClinical settings, hospitals, clinics
Job FocusReviewing treatment plans, utilization management, policy complianceDirect patient care, therapy implementation

The main difference is that Executive Occupational Therapy Utilization Review professionals focus on reviewing and managing therapy utilization and policies at an administrative level, while Occupational Therapists provide direct patient care and therapy services. The review role emphasizes oversight, compliance, and policy, whereas the therapist role centers on hands-on treatment.

What is an executive occupational therapy utilization review?

An Executive Occupational Therapy Utilization Review is a specialized role in healthcare management focused on evaluating the necessity, efficiency, and quality of occupational therapy services provided to patients. Professionals in this position review clinical documentation, treatment plans, and outcomes to ensure they meet established guidelines and standards. They also collaborate with therapists, healthcare providers, and insurance companies to optimize patient care and resource utilization. This role often involves policy development, staff education, and ensuring compliance with regulations.

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

Cities with the most Executive 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 Executive Occupational Therapy Utilization Review jobs?

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

Executive Occupational Therapy Utilization Review jobs near you
Infographic showing various Executive Occupational Therapy Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Utilization Review, Health Plan - Occupational Therapist

Cook Childrens

Remote

$41.25 - $54.25/hr

Other

This job post has expired today. Applications are no longer accepted.

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

Occupational Therapist Utilization Management Reviewer

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.

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.

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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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