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Executive Occupational Therapy Utilization Review Jobs

UHS

Utilization Review Clinician

Augusta, GA · On-site

... 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 ...

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 ...

New

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 ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

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 ...

Boise of Cascadia, LLC

Occupational Therapy

Boise, ID

$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.

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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 9, 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 Clinician

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

491st of 887 rated healthcare providers

Job description

Responsibilities
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
  • Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
  • Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
  • Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefit Highlights
  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION AND EXPERIENCE
Masters level education in social science field (social work, counseling, sociology, psychology).
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)
Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)
Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.
CERTIFICATIONS, LICENSES, REGISTRATION
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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