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Full Time Remote Physical Therapy Utilization Review Jobs

Gateway Rehab

Utilization Review Liaison - REMOTE

Job Type Full-time Description Gateway Rehab Center (GRC) is hiring a full-time Utilization Review ... Minimal physical demands. * Significant attention to detail required. * Mental demands include ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...

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

As of Sep 8, 2026, the average hourly pay for full time remote physical therapy utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Full Time Remote Physical Therapy Utilization Review vs Full Time Remote Physical Therapist?

AspectFull Time Remote Physical Therapy Utilization ReviewFull Time Remote Physical Therapist
CredentialsPT license, certification in utilization reviewPT license, state licensure
Work EnvironmentRemote, administrative settingRemote, clinical setting
Employer & IndustryInsurance companies, healthcare organizationsHospitals, outpatient clinics, rehab centers
Job FocusReviewing medical necessity, authorizationsProviding direct patient care, therapy services

Full Time Remote Physical Therapy Utilization Review focuses on evaluating medical necessity and authorizations remotely, while Full Time Remote Physical Therapists provide direct patient care from home. Both roles require a PT license, but differ in daily responsibilities and work environment.

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Full Time Remote Physical Therapy Utilization Review jobs near you

Utilization Review Liaison - REMOTE

Gateway Rehab

Remote

Full-time

Medical

Posted 5 days ago

Job description

Job Type
Full-time
Description
Gateway Rehab Center (GRC) is hiring a full-time Utilization Review Liaison! In this important administrative and clinical support role, you will help ensure patients receive the appropriate level of care by coordinating authorizations, conducting utilization reviews, and collaborating with clinical teams and insurance providers to support treatment coverage and reimbursement. This position is fully remote and offers the opportunity to make a meaningful impact on patient access to care from your home office. To be considered for the position, you must live within the Pittsburgh, PA area or surrounding counties.
If you're detail-oriented, organized, and enjoy working at the intersection of patient care, insurance, and healthcare operations, keep reading!
Why You'll Love Working at GRC
  • Mission-driven work supporting individuals and families impacted by addiction.
  • Opportunity to play a vital role in ensuring access to treatment services.
  • Collaborative environment working alongside clinical, admissions, and billing teams.
  • Meaningful work that helps patients receive the care they need throughout their recovery journey.
  • Comprehensive benefits package, including contribution toward the medical insurance plan of your choice: Highmark or UPMC, plus access to employee discount programs and additional supportive benefits!

Why This Role is Important to SUD Treatment
GRC's Utilization Review team is changing lives, and as a Utilization Review Liaison, you'll be at the forefront of this effort. By securing and maintaining treatment authorizations, monitoring coverage, and advocating for continued care when needed, you help remove barriers to treatment and ensure patients have access to critical recovery services. Your work directly supports quality patient care, treatment continuity, and organizational success. This is more than an administrative role. It's an opportunity to make a lasting impact on recovery every day.
Responsibilities:
  • Gather clinical information needed for concurrent and retrospective reviews.
  • Complete concurrent and retrospective review processes with payors for treatment authorization.
  • Collaborate with utilization review team members and clinical staff to prepare for reviews and maintain daily workflow.
  • Enter authorization information into the patient database.
  • Communicate authorization status updates to clinical staff.
  • Monitor patients' last covered day of treatment and notify appropriate staff of upcoming coverage expirations.
  • Investigate and resolve issues involving incomplete or missing authorizations.
  • Identify errors that could negatively impact reimbursement for patient treatment.
  • Collaborate with multiple departments to ensure continuity of treatment coverage.
  • Educate clinical and support staff regarding county-funded, managed care, and commercial insurance procedures.
  • Complete peer-to-peer reviews as needed.
  • Communicate discharge information to funding sources when required.
  • Coordinate with clinical teams to ensure funding sources are notified of patient status changes.
  • Investigate denied claims and assist in efforts to recover payment for services rendered.
  • Attend managed care provider meetings as needed.
  • Participate in required GRC trainings and in-service programs.

What You Bring
  • Strong understanding of utilization review, insurance authorization processes, and managed care practices.
  • Excellent verbal and written communication skills.
  • Strong organizational skills and attention to detail.
  • Ability to manage multiple priorities in a fast-paced environment.
  • General understanding of ASAM Criteria.
  • Familiarity with substance use disorder, mental health, and behavioral healthcare treatment services.
  • Strong problem-solving and critical-thinking abilities.
  • Proficiency in Microsoft Office applications, including Word, Excel, and email systems

Requirements
What Do We Require?
  • Bachelor's degree.
  • Familiarity with drug and alcohol treatment, mental health treatment, and/or managed care processes.
  • Proficiency with computer systems and Microsoft Office applications.

Preferred Qualifications
  • Master's degree.
  • Registered Nurse (RN) with current Pennsylvania licensure.
  • Previous experience with utilization review, managed care, insurance authorizations, or healthcare reimbursement processes.

Additional Requirements
  • Pass a PA Criminal Background Check.
  • Obtain PA Child Abuse and FBI Fingerprinting Clearances.
  • Pass a Drug Screen.
  • Complete a 2-Step TB Test.

What Are the Work Conditions?
  • Remote.
  • Prolonged periods of sitting and working on a computer.
  • Minimal physical demands.
  • Significant attention to detail required.
  • Mental demands include problem-solving complex coverage issues, analyzing authorization requirements, and coordinating information across multiple departments.

GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.

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