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Occupational Therapy Utilization Review Jobs in Raleigh, NC

Adoration Health

Occupational Therapist/ OT

Wendell, NC

$70K - $100K/yr

Supervision of Occupational Therapy Assistants as needed * Communicates with other disciplines to ... review the Care Provider Background Screening Clearinghouse. Salary RangeUSD $70,000.00 - $100,000 ...

Centerwell

Occupational Therapist, Home Health

Raleigh, NC · On-site

$54 - $76/hr

Review/expand the retraining programs in a manner consistent with the behavioral goals of each ... Degree from an accredited Occupational Therapy Program * A minimum of six months of occupational ...

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All JobsOccupational Therapy Utilization Review JobsOccupational Therapy Utilization Review Jobs in Raleigh, NC

Occupational Therapy Utilization Review information

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$22

$44

$65

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

As of Aug 26, 2026, the average hourly pay for occupational therapy utilization review in Raleigh, NC is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $37.64 and $49.52 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.

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What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Raleigh, NC?

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

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The top searched job categories for Occupational Therapy Utilization Review jobs in Raleigh, NC are:

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Cities near Raleigh, NC with the most Occupational Therapy Utilization Review job openings:

Occupational Therapy Utilization Review jobs near you
Infographic showing various Occupational Therapy Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $91,740 per year, or $44.1 per hour.

Occupational Therapist/ OT

Wendell, NC

Adoration Health
Hospitals • 51 - 200 employees
Learn more about Adoration Healthexternal

$70K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

Our Company

Adoration Health

Overview

Adoration Health is expanding in Tarboro, NC! 

  • Position: Occupational Therapist 
  • Employment Type: Full-Time 
  • Location: The Barclay House at Tarboro

Who we are looking for:

  • An experienced OT, enthusiastic about empowering clients with strength & independence
  • You are familiar with Independent Living, Assisted Living, Geriatric and/or Outpatient Settings
  • You value flexibility, autonomy and providing personalized one-on-one care

What you will receive: 

  • Free Continuing Education Hours with Medbridge Access
  • Paid Time Off/Paid Holidays
  • Medical/Dental/Vision/401K
  • Work Life Balance - Flexible Schedule
  • Provide 1:1 Patient Care
  • Professional Growth Opportunities
  • Supportive Leadership and Team Environment
Responsibilities

What you will do: Responsibilities listed include but not limited to:

  • Perform evaluations and develop treatment plans
  • Regularly re-assess effectiveness of treatment plans, attend staffing meetings and family conferences
  • Perform discharge evaluations, make appropriate recommendations for safety, and provide referral and education resources
  • Communicate patient's needs and progress to the treatment team, physician, person receiving services and family members
  • Supervision of Occupational Therapy Assistants as needed
  • Communicates with other disciplines to ensure collaboration, coordination of care and enhance patient outcomes
Qualifications

What you will need:

  • Minimum of a bachelor's degree in Occupational Therapy from a college or university with an accredited Occupational Therapy program  
  • Current, unrestricted license as an Occupational Therapist by state in which practicing  
  • Current Live CPR Certification
  • Two-step TB skin test required
  • Proof of Auto Insurance
  • Demonstrates knowledge of evidence based therapy interventions.
  • Familiarity with assisted living, independent living, geriatrics and/or home health
  • Communicates effectively and professionally in verbal and written interactions
  • Ability to lift 50 pounds
  • Moving, lifting, or transferring of patients which may involve lifting of up to 100 pounds following safety procedures
  • Duties require fine motor skills,visual acuity, and walking/ standing for extended periods
  • Additional physical requirements include: pushing/pulling, bending/stooping, reaching, kneeling, and positioning frequently at times
  • A health screen or examination may be required prior to assignment and periodically thereafter, depending on specific location policy, local and state regulations to verify employee is physically capable of performing assigned duties with or without reasonable accommodations
About our Line of BusinessAdoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn.Additional Job Information

This position is subject to a level 2 background screening. For more information on the Florida state background screening process and standards, please access and review the Care Provider Background Screening Clearinghouse.

Salary RangeUSD $70,000.00 - $100,000.00 / YearEmployment Type: FULL_TIME
Adoration Health logo

About Adoration Health

Sourced by ZipRecruiter

Adoration Home Health and Hospice provides quality and compassionate services in the comfort of home, providing support for patients, families and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information about Adoration, please visit www.AdorationHealth.com. Follow us on Facebook and LinkedIn.

Industry

Hospitals

Company size

51 - 200 Employees

Headquarters location

Nashville-Davidson, TN, US

Year founded

2015

Social media

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