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Full Time Occupational Therapy Utilization Review Jobs

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Axiom Care

Utilization Review Coordinator

Phoenix, AZ · On-site

Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for ...

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.

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

As of Aug 23, 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 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 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 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.

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.

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Cities with the most Full Time 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:

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

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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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Utilization Review Nurse

Oscar Health

Dallas, TX • Remote

$35 - $45.94/hr

Full-time

Re-posted yesterday

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

260th of 311 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines) or InterQual
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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