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Occupational Therapy Utilization Review Jobs in Delaware

Supervise Occupational Therapy Assistants in direct patient care and patient related activities ... Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ...

... therapy programs for the facility to facilitate rehabilitation, and will work in both Skilled and ... Screens, examines, and evaluates patients, including history, systems review, and application of ...

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Occupational Therapy Utilization Review information

See Delaware salary details

$23

$45

$67

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

As of Aug 29, 2026, the average hourly pay for occupational therapy utilization review in Delaware is $45.41, according to ZipRecruiter salary data. Most workers in this role earn between $38.75 and $51.01 per hour, depending on experience, location, and employer.

What is occupational therapy utilization review?

Occupational Therapy Utilization Review is a process where an occupational therapy professional evaluates the necessity, efficiency, and appropriateness of therapy services provided to patients. This role involves reviewing clinical documentation and treatment plans to ensure compliance with insurance and regulatory guidelines, as well as determining if services are medically necessary. The goal is to optimize patient care while also controlling healthcare costs and ensuring ethical practices. Utilization reviewers often work for insurance companies, healthcare organizations, or third-party review agencies, and may interact with therapists to clarify documentation or recommend changes to treatment plans.

What are utilization review jobs in occupational therapy?

Occupational therapy utilization review jobs focus on reviewing clinical records and documentation to ensure that patients of occupational therapists receive required services and an appropriate level of clinical care. Your duties also include collecting information for insurance purposes. In addition to insurance reimbursement and claim data, you also assess the available resources and staff skills in the facility that you are reviewing. Utilization review specialists can look at medical data, but they can also interview a patient or communicate with the occupational therapists who provide treatment to come up with evidence-based reports to support their review.

What are the key skills and qualifications needed to thrive as an occupational therapy utilization review specialist, and why are they important?

To thrive as an Occupational Therapy Utilization Review specialist, you need a solid clinical background in occupational therapy, a valid OT license, and experience in case management or utilization review. Familiarity with electronic medical records (EMR) systems, insurance guidelines, and certifications such as CCM (Certified Case Manager) or URAC accreditation are often required. Strong critical thinking, attention to detail, and effective communication skills help professionals excel in evaluating treatment plans and collaborating with healthcare teams. These competencies ensure that care recommendations are evidence-based, cost-effective, and compliant with insurance and regulatory standards.

What are some common challenges faced in an occupational therapy utilization review role, and how can they be addressed?

One common challenge in Occupational Therapy Utilization Review is balancing the need to ensure cost-effective care with advocating for appropriate patient services. Professionals in this role often navigate complex clinical documentation and must communicate effectively with both therapy providers and insurance representatives. Staying current on evolving payer guidelines and clinical best practices is essential. Developing strong analytical skills and fostering collaborative relationships with clinical teams can help address these challenges and support both patient outcomes and organizational goals.

What is the difference between Occupational Therapy Utilization Review vs Occupational Therapist?

AspectOccupational Therapy Utilization ReviewOccupational Therapist
CredentialsTypically requires a background in occupational therapy, often with certification in utilization review or case managementRequires a state license and a master's degree in occupational therapy
Work EnvironmentPrimarily office-based, reviewing cases for insurance companies or healthcare organizationsClinical settings such as hospitals, clinics, or rehabilitation centers
Employer & IndustryInsurance companies, healthcare organizations, case management firmsHospitals, outpatient clinics, rehabilitation centers
Job FocusEvaluating medical necessity and approving or denying therapy servicesProviding direct therapy services to patients to improve daily functioning

Occupational Therapy Utilization Review focuses on assessing the necessity of therapy services through case evaluation, often in an office setting. In contrast, Occupational Therapists provide hands-on therapy to patients. While both roles require knowledge of occupational therapy, their work environments and responsibilities differ significantly.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Delaware?

The most popular types of Occupational Therapy Utilization Review jobs in Delaware are:

What are popular job titles related to Occupational Therapy Utilization Review jobs in Delaware?

For Occupational Therapy Utilization Review jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Occupational Therapy Utilization Review jobs in Delaware look for?

The top searched job categories for Occupational Therapy Utilization Review jobs in Delaware are:

What cities in Delaware are hiring for Occupational Therapy Utilization Review jobs?

Cities in Delaware with the most Occupational Therapy Utilization Review job openings:

Infographic showing various Occupational Therapy Utilization Review job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $94,456 per year, or $45.4 per hour.

Occupational Therapist PRN

Pacs

On-site

Part-time

Re-posted 21 days ago


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Job description

General Purpose

The Staff Occupational Therapist evaluates and treats patients, communicates with families, physicians and other health team members and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis.

Essential Duties

Evaluate patients within twenty-four (24) hours, or 1 business day of physician referral. If unable to complete evaluation in 24 hours, documentation in medical record clearly defines cause for delay.

Develop effective treatment plan and obtain approval for services from referring physician.

Treat patients per the physician treatment plan.

Assist nursing department with training of Restorative Aides.

Supervise Occupational Therapy Assistants in direct patient care and patient related activities, following state practice act.

Communicate with supervisor and other health team members regarding patient progress, problem and plans.

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed.

Participate in in-services training program for other staff in the facility.

Record evaluations, daily treatment notes, weekly progress notes, recertification documentation, per Occupational Therapy Board State Practice Act and governmental and third party payer requirements.

Record treatment changes per policy and procedures.

Instruct patient's families or nursing staff in maintenance program and caregiver training in preparation for discharge from therapy services.

Participate in discharge planning.

Recommend and facilitate the ordering of necessary durable medical equipment for patients to facilitate independence in mobility; i.e., braces, walkers, canes, elevated toilet seats and grab bars.

Report any problems with department equipment so that it is maintained in good working order. Ability to relate positively, effectively, and appropriately with patients/residents, families, staff and professional colleagues. Supervisory Requirements Supervises Certified Occupational Therapy Assistant (COTA), aides and students.

Qualification

Education and/or Experience

Bachelor's degree in Occupational Therapy, prefer graduates of Masters or Doctorate Program in Occupational Therapy.

Proficient in computer skills such as inputting data into programs such as Casamba and Point Click Care.

Language Skills

Ability to read technical procedures.

Ability to read and comprehend policy and procedure manuals.

Ability to effectively present information and respond to questions from managers, coworkers and families.

Mathematical Skills

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

Reasoning Ability

Ability to solve practical problems.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Certificates, Licenses, Registrations

Licensed as an Occupational Therapist in the state.

Employee must meet continue education requirements per state practices.

Must maintain a license in good standing at all time with the state board.

Physical Demands

The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Exerting in excess of 100 pounds of force occasionally, and or excess of 50 pounds of force frequently, and/or excess of 20 pounds of force constant to move objects. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.


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Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Farmington, UT, US