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Executive Occupational Therapy Utilization Review Jobs

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 ...

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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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.

UR Clinical Associate

Carteret Health Care

Morehead City, NC • On-site

Full-time

Re-posted 2 days ago

Carteret Health Care rating

6.8

Company rating: 6.8 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

598th of 1,055 rated hospitals

Job description

  • JOB RELATIONSHIPS
    • This position reports to the Director of Research & Innovation. Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the Business Office. This role serves as the clinical support bridge between the non-clinical UR administrative function and the licensed RN UR Specialist, operating under the supervision of licensed nursing staff for all clinically related tasks.
  • DEFINITION OF POSITION
    • The Utilization Review Clinical Associate (URCA) provides clinically informed support to the inpatient Utilization Review (UR) team at Carteret Health Care. This role is distinguished from the non-clinical Utilization Review Support Specialist (URSPEC) by requiring an active clinical license or credential and by performing functions that require clinical knowledge and judgment at a support level, under the supervision and direction of the RN UR Specialist. The URCA assists with concurrent review activities, functional and discharge readiness assessment support, clinical documentation coordination, level-of-care data collection, and payer communication support. The URCA does not independently perform medical necessity determinations or make inpatient/observation status decisions; those functions remain with the RN UR Specialist and Physician Advisor. The URCA enhances team capacity by bridging clinical and administrative UR functions, reducing burden on licensed UR nursing staff, and contributing clinical perspective to care transitions and discharge planning coordination.
  • QUALIFICATIONS
    • Professional
      • Active clinical license or credential required. Qualifying credentials include: Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), Physical Therapist Assistant (PTA), Certified Occupational Therapy Assistant (COTA), Speech-Language Pathologist (SLP), Respiratory Therapist (RT), Medical Assistant (CMA/RMA), or equivalent clinically credentialed healthcare professional. Credential must be in good standing with the applicable state licensing board.
      • Preferred (2) years of clinical experience in an acute care hospital, rehabilitation, skilled nursing, or related inpatient/post-acute setting preferred.
      • Working knowledge of medical terminology, clinical documentation, and patient care workflows in an inpatient environment.
      • Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred.
      • Familiarity with CMS rules relevant to inpatient care (e.g., Two-Midnight Rule, inpatient vs. observation status, Important Message from Medicare, MOON notice) preferred; training will be provided.
      • Proficiency with Microsoft Office (Outlook, Word, Excel) and ability to learn hospital information systems (Meditech, Midas, Providerlink, payer portals).
      • A certification such as Certified Case Manager (CCM), Certified Utilization Review Professional (CURP), or Certified Revenue Cycle Specialist (CRCS) is a plus but not required.

What Carteret Health Care employees say

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About Carteret Health Care

Sourced by ZipRecruiter

Welcome to Carteret Health Care in Morehead City on the Crystal Coast of North Carolina. Come for the lifestyle, stay for the rewarding career. Imagine being able to live, work and play at the beach. Enjoying a wonderful quality of life, great recreational activities and excellent schools. As part of our mission to promote wellness and service to our community through exceptional quality and compassionate care, our employees are committed to our 'Navigating to Excellence' performance improvement initiative. We offer competitive employee benefits and salaries. Please consider joining our dedicated team — and make a difference every day.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Morehead City, NC, US

Year founded

1967

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