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Occupational Therapy Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Clinician

Augusta, GA · On-site

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...

New

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

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 ...

ECU Health

Utilization Review Specialist

Greenville, NC · On-site

$65K - $95K/yr

Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS ... occupational health screening, criminal record check, education, reference, and licensure ...

Boise of Cascadia, LLC

Occupational Therapy

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

Boise of Cascadia, LLC

Occupational Therapy

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff ... Provides skilled occupational therapy services / interventions in accordance with physician orders.

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Occupational Therapy Utilization Review information

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$67

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

As of Aug 10, 2026, the average hourly pay for 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 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 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 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 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 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.

More about Occupational Therapy Utilization Review jobs
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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 Occupational Therapy Utilization Review jobs? States with the most job openings for Occupational Therapy Utilization Review jobs include:
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Occupational Therapy Utilization Review jobs near you
Infographic showing various Occupational Therapy Utilization Review job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

UTILIZATION REVIEW COORDINATOR

MOUNTAIN VIEW HOSPITAL LLC

Idaho Falls, ID

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Mountain View Hospital (Idaho Falls) rating

5.2

Company rating: 5.2 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

969th of 1,055 rated hospitals

Job description

Mountain View Hospital is looking for a Utilization Review Coordinator to join our team!

JOB SUMMARY: As a member of the Utilization Management Team, the UR
Coordinator helps establish and maintain efficient methods of ensuring the medical necessity and appropriateness of hospital admissions and extended stays. The Utilization Management Team directs the program in accordance with Mountain View Hospital’s mission and strategic goals. The Utilization Management Team directs those activities within the facility which monitor adherence to the hospital’s utilization review plan. The goal of Utilization Management is to continuously improve effective use of hospital services through monitoring patient admissions and stays.

About Mountain View:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

BENEFITS:

Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:

  • Medical, Dental and Vision Insurance
  • Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
  • Retirement Plans (401K with up to 6% match)
  • Earned Quarterly Bonus Program
  • Education Reimbursement Program
  • Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

Education/Certification: High School Diploma or equivalent. Coding certificate completion is required within 1 year of employment

Experience: Background in medical terminology is helpful. Medical coding and/or insurance experience preferred, however coding certification will be required with in one calendar year of employment

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