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Mid Level Occupational Therapy Utilization Review Jobs

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... with ABA therapy best practices and insurance requirements. * Accurately input and maintain ...

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift Day Shift Details 8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...

Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...

Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Utilizes and applies UM platform Care Level Scores along with clinical expertise, to validate ...

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift DayShift Details8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...

... level of care; oversees utilization review activities with other departments to ensure ... Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ...

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Mid Level Occupational Therapy Utilization Review information

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How much do mid level occupational therapy utilization review jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for mid level 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 Mid Level Occupational Therapy Utilization Review vs Entry Level Occupational Therapy Utilization Review?

AspectMid Level Occupational Therapy Utilization ReviewEntry Level Occupational Therapy Utilization Review
CredentialsOccupational Therapy License, Certification in Utilization Review (if required)Occupational Therapy License, Basic understanding of Utilization Review processes
Work EnvironmentHealthcare facilities, insurance companies, case review teamsHealthcare settings, insurance companies, supervised review tasks
Employer & Industry UsageHospitals, insurance providers, rehab centersInsurance companies, outpatient clinics, healthcare agencies

The Mid Level Occupational Therapy Utilization Review typically involves more independent decision-making, advanced knowledge of insurance policies, and greater responsibility in case assessments. Entry Level roles focus on learning review processes under supervision, gaining experience, and developing foundational skills. Both roles are essential in healthcare and insurance industries, but the mid level position offers increased autonomy and expertise.

What cities are hiring for Mid Level Occupational Therapy Utilization Review jobs? Cities with the most Mid Level 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 Mid Level Occupational Therapy Utilization Review jobs? States with the most job openings for Mid Level Occupational Therapy Utilization Review jobs include:

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 hours ago


Job description

Join us as a Utilization Review Clinician!

As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, youll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.

As a Utilization Review Clinician:

  • You will be an active participant in the health care team.

  • You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.

  • You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.

The Utilization Review Clinician will have the following:

  • Master's level clinician or RN.

  • Previous utilization management, preferably in an inpatient psychiatric setting

  • License eligible (LMHC or LICSW preferred) or RN

  • Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment

  • Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program

  • Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.

When you join the growing MiraVista team as a Utilization Review Clinician, youll receive:

  • Medical, Dental, and Vision

  • 401(k) match

  • Employer paid long term disability (LTD)

  • Short term disability (STD)

  • Employer paid life and AD&D Insurance

  • Generous Paid Time Off

  • Flexible Spending Account

  • Tuition Reimbursement

Pay Range:

Compensation will be determined based on the candidate's relevant experience.

$80,000 - $90,000

MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.