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Occupational Therapy Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Augusta, GA · On-site

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

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

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.

Cascadia of Boise

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.

Cascadia of Boise

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.

UHS

Utilization Review Coordinator

Augusta, GA

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

UHS

Director of Utilization Review

Gulfport, MS

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

Fresno County, CA

UTILIZATION REVIEW SPECIALIST

Fresno, CA · On-site

$101K - $128K/yr

... Utilization Review Specialist . Incumbents provide professional services including: regulatory ... and Family Therapist, or Registered Nurse. Licenses : Valid State of California license as a ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

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Occupational Therapy Utilization Review information

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$23

$45

$67

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

As of Jun 14, 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.

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What cities are hiring for Occupational Therapy Utilization Review jobs? Cities with the most 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:
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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 June 2026, with employment types broken down into 1% As Needed, 42% Full Time, 54% Part Time, 2% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.
Utilization Review Coordinator

Utilization Review Coordinator

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Universal Health Services rating

6.7

Company rating: 6.7 out of 10

Based on 248 frontline employees who took The Breakroom Quiz

527th of 872 rated healthcare providers

Job description

Responsibilities
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
  • Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
  • Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
  • Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefit Highlights
  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION AND EXPERIENCE
Masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia.
Nurses with a current GA or Multistate RN license encouraged to apply.
Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.
CERTIFICATIONS, LICENSES, REGISTRATION
LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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