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Full Time Occupational Therapy Utilization Review Jobs

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.

Millennium Therapy

Occupational Therapy Assistant

Sumner, IA · On-site

$24.50 - $33/hr

Millennium Therapy is looking to add a Full-Time Occupational Therapy Assistant (COTA) to our staff in Sumner, IA for the Skilled Nursing setting. Millennium Therapy is a patient focused, therapist ...

Millennium Therapy

Occupational Therapy Assistant

Ackley, IA

$24.25 - $32.50/hr

Millennium Therapy is looking to add a Full-Time Occupational Therapy Assistant (COTA) to our staff in Ackley, IA for the Skilled Nursing setting. Millennium Therapy is a patient focused, therapist ...

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

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.

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...

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Full Time Occupational Therapy Utilization Review information

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

As of Aug 9, 2026, the average hourly pay for full time 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 the difference between Full Time Occupational Therapy Utilization Review vs Part Time Occupational Therapy Utilization Review?

AspectFull Time Occupational Therapy Utilization ReviewPart Time Occupational Therapy Utilization Review
CredentialsOccupational Therapist (OT) license, utilization review certificationOccupational Therapist (OT) license, utilization review certification
Work EnvironmentHealthcare facilities, insurance companies, utilization review departmentsSame as full time, but fewer hours per week
Employer & Industry UsageCommon in healthcare and insurance sectorsSame as full time, often for flexible scheduling

Full Time Occupational Therapy Utilization Review involves working standard hours in healthcare or insurance settings, focusing on case assessments and approvals. Part Time Occupational Therapy Utilization Review offers similar responsibilities but with fewer hours, providing flexibility for professionals balancing other commitments. Both roles require similar credentials and are prevalent in healthcare and insurance industries.

What are the key skills and qualifications needed to thrive as a full time occupational therapy utilization review specialist?

To thrive as a Full Time Occupational Therapy Utilization Review specialist, you need a valid occupational therapy license, in-depth clinical knowledge, and experience in patient care. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines or certifications like Certified Case Manager (CCM) are commonly required. Exceptional analytical skills, attention to detail, and effective written and verbal communication help you excel when reviewing cases and collaborating with healthcare providers. These skills ensure the delivery of medically necessary, high-quality care while optimizing resource use and maintaining compliance with payer requirements.

What is a full time occupational therapy utilization review?

A Full Time Occupational Therapy Utilization Review position involves evaluating clinical documentation and treatment plans to ensure that occupational therapy services are medically necessary, appropriate, and efficient. Professionals in this role review patient records, collaborate with therapists, and communicate with insurance providers to approve or deny therapy services. This job is typically non-clinical and may be remote or office-based, focusing on compliance with healthcare regulations and reimbursement policies. It's ideal for licensed occupational therapists seeking to use their expertise in a review and administrative capacity rather than direct patient care.

What are some common challenges faced by occupational therapy utilization review professionals, and how can they be managed?

One common challenge in Occupational Therapy Utilization Review is balancing the need to ensure appropriate care for patients with the necessity to comply with insurance guidelines and cost considerations. Professionals in this role often review complex clinical documentation and must make objective decisions, sometimes under tight deadlines. Effective communication with clinicians and insurance representatives is essential, as is staying updated on evolving regulations and best practices. Building strong organizational and analytical skills can help manage these demands and contribute to job satisfaction.
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Full Time Occupational Therapy Utilization Review jobs near you
Infographic showing various Full Time Occupational Therapy Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Director, Utilization Review

Cobalt Benefits Group LLC

Exeter, NH • On-site

$135K - $155K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Job description

Description:

The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically sound, timely, and compliant medical necessity determinations across all lines of business, while driving integration across Claims, Appeals, Stop Loss, and vendor partners. The position also advances technology-enabled utilization management, interoperability, and population health strategies in alignment with CBG’s operational and client objectives.


Clinical & Operational Leadership:

  • Provide leadership and oversight of the Utilization Review department
  • Ensure consistent, evidence-based medical necessity determinations
  • Establish and enforce clinical guidelines, documentation standards, and review protocols
  • Maintain alignment with MCG guidelines and internal clinical governance standards

Claims, Appeals & Stop Loss Integration:

  • Ensure seamless alignment between UR and Claims workflows
  • Provide clinical expertise and documentation support for Appeals processes
  • Partner with Stop Loss teams on high-cost claim reviews and determinations
  • Promote end-to-end workflow efficiency across clinical and administrative functions

Regulatory Compliance & Audit Readiness:

  • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements
  • Maintain audit-ready documentation and defensible clinical decisions
  • Oversee development and accuracy of denial and determination letters
  • Partner with Compliance and Legal to ensure regulatory alignment across all lines of business

Technology, Interoperability & Data Strategy:

  • Drive automation and digital workflow enhancements within UR
  • Enable interoperability across UR, Claims, Appeals, and vendor systems
  • Support real-time data exchange (EDI, integration platforms)
  • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives

Quality, Training & Performance Management:

  • Establish quality assurance programs, audit processes, and performance standards
  • Develop and deliver training programs for clinical and operational staff
  • Implement dashboards and KPIs to measure productivity, compliance, and outcomes
  • Foster a culture of continuous improvement and accountability
Requirements:
  • Active Registered Nurse (RN) license
  • Minimum 5+ years of Utilization Review leadership experience
  • Strong knowledge of MCG guidelines, regulatory standards, and claims integration
  • Preferred experience within a TPA or health plan environment
  • Preferred familiarity with clinical platforms, workflow automation, and interoperability tools

Why Join Cobalt Benefits Group?

Cobalt Benefits Group is a trusted third-party administrator specializing in self-funded benefit plans. With over 30 years of experience and 180+ employees, we support employers through customized health plan administration, claims management, and specialized programs including FSAs, HSAs, COBRA, and retiree billing.

After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits package, including:

  • Medical, dental, and vision coverage with employer HSA contributions
  • Company-paid life, AD&D, and disability insurance
  • 401(k) with up to a 6% employer match
  • Generous paid time off, sick time, and 10+ paid holidays
  • Flexible Spending Accounts
  • A collaborative culture with regular company events

Cobalt Benefits Group is an Equal Employment Opportunity Employer


Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.