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Manager Utilization Review Physical Therapist Jobs

Care Career

Travel Utilization Review RN

Fort Myers, FL · On-site

Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date ...

Care Career

Travel Utilization Review RN

Torrance, CA · On-site

Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

Prime Staffing

Travel Utilization Review RN

Orange, CA · On-site

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

GQR Healthcare

Travel Utilization Review RN

Fort Myers, FL · On-site

$1.7K - $1.8K/wk

GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

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How much do manager utilization review physical therapist jobs pay per year?

As of Sep 6, 2026, the average yearly pay for manager utilization review physical therapist in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What does a manager utilization review physical therapist do?

A Manager Utilization Review Physical Therapist oversees the process of evaluating the medical necessity, appropriateness, and efficiency of physical therapy services provided to patients. They lead a team of utilization review specialists, ensuring that treatment plans comply with insurance guidelines and regulatory standards. Their role involves reviewing clinical documentation, communicating with healthcare providers and insurers, and implementing best practices to optimize patient outcomes while controlling costs. Additionally, they are responsible for training staff, maintaining compliance, and improving review processes.

What are the key skills and qualifications needed to thrive as a manager utilization review physical therapist?

To thrive as a Manager Utilization Review Physical Therapist, you need a valid physical therapy license, clinical expertise, and experience in utilization review or case management. Familiarity with healthcare coding systems (ICD-10, CPT), utilization management software, and compliance regulations such as Medicare guidelines is typically required. Strong leadership, analytical thinking, and effective communication are crucial soft skills for guiding teams and collaborating with diverse healthcare stakeholders. These abilities ensure appropriate care delivery, regulatory compliance, and efficient resource utilization within healthcare organizations.

What are some typical challenges faced by a manager utilization review physical therapist, and how can they be addressed?

A Manager Utilization Review Physical Therapist often faces challenges such as balancing administrative duties with clinical oversight, staying current with changing payer guidelines, and ensuring consistent communication between clinical staff and insurance providers. Addressing these challenges involves strong organizational skills, regular training on updated policies, and fostering a collaborative team environment. Utilizing technology to streamline documentation and review processes can also help manage workload efficiently while maintaining high-quality patient care.

What is the difference between Manager Utilization Review Physical Therapist vs Utilization Review Coordinator Physical Therapist?

AspectManager Utilization Review Physical TherapistUtilization Review Coordinator Physical Therapist
CertificationsLicensed Physical Therapist, possibly additional management certificationsLicensed Physical Therapist, certification in utilization review preferred
Work EnvironmentSupervises teams, manages review processes, strategic planningPerforms review assessments, coordinates case evaluations, administrative tasks
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, case management firms

The Manager Utilization Review Physical Therapist typically oversees review teams and manages utilization review processes, focusing on strategic and administrative leadership. In contrast, the Utilization Review Coordinator Physical Therapist primarily conducts case reviews and assessments, supporting the review process without managerial responsibilities. Both roles require licensed physical therapists and knowledge of healthcare utilization, but their scope and responsibilities differ significantly.

More about Manager Utilization Review Physical Therapist jobs

What cities are hiring for Manager Utilization Review Physical Therapist jobs?

Cities with the most Manager Utilization Review Physical Therapist job openings:

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The most popular types of Utilization Review Physical Therapist jobs are:

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Manager Utilization Review Physical Therapist jobs near you
Infographic showing various Manager Utilization Review Physical Therapist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Project Manager, Utilization Review

Med-Metrix

Parsippany, NJ • On-site

$100K - $125K/yr

Full-time

Posted 24 days ago

Key responsibilities

  • Oversee implementation coordination, stakeholder management, and project timelines for utilization review processes.

  • Analyze utilization data, case trends, and client performance metrics to prepare summaries and recommendations.

  • Support client onboarding, operational handoffs, and serve as the operational point of contact for end-to-end clients.

Med-Metrix rating

6.9

Company rating: 6.9 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

289th of 500 rated business services

Job description

Job Purpose
The Project Manager, Utilization Review provides operational and analytical support to Physician Advisory end-to-end clients. The Project Manager, Utilization Review will oversee implementation coordination, stakeholder management, utilization data analysis
Duties & Responsibilities
  • Prepare and participate in client review meetings (decks, data summaries, presentations)
  • Track deliverables, timelines, and client escalations
  • Support client onboarding processes and operational handoffs
  • Analyze utilization data, case trends, and client performance metrics
  • Investigate clinical and operational issues for end-to-end clients
  • Prepare data-driven summaries and recommendations for leadership review
  • Participate in evaluation of hospital UR processes and application of screening tools (MCG, IQ)
  • Support reporting infrastructure and PowerBI data validation
  • Lead ad-hoc projects for end-to-end clients as directed
  • Provide support on time-sensitive deliverables and client requests
  • Manage project timelines, resources, and stakeholder coordination
  • Serve as operational point of contact for end-to-end clients
  • Support escalation resolution and issue tracking
  • Contribute to operational efficiency improvements
  • Other duties as assigned
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications
  • Active RN license required
  • Utilization Review experience (required)
  • 4+ years Healthcare compliance and utilization review experience required
  • 3+ Project management experience required; PM certification a plus
  • Proficiency with data analysis tools and MCG and IQ application expertise required
  • End-to-end client or managed care operations experience
  • PowerBI or data visualization experience preferred
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Working Conditions
  • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
  • Work Environment: The noise level in the work environment is usually minimal

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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