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

As of Aug 15, 2026, the average hourly pay for per diem 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 Per Diem Occupational Therapy Utilization Review vs Occupational Therapist?

AspectPer Diem Occupational Therapy Utilization ReviewOccupational Therapist
CredentialsLicensed Occupational Therapist, often with additional utilization review certificationLicensed Occupational Therapist
Work EnvironmentInsurance companies, healthcare facilities, or telehealth settingsHospitals, clinics, outpatient centers, or schools
Job FocusReviewing patient cases for insurance coverage and appropriateness of therapyProviding direct patient care and therapy services
Industry UsageCommon in insurance and healthcare administrationClinical healthcare and rehabilitation

Per Diem Occupational Therapy Utilization Review specialists primarily evaluate cases for insurance coverage, focusing on documentation and policy compliance, often working remotely or in administrative settings. In contrast, Occupational Therapists provide hands-on therapy to patients, assessing and treating physical, mental, or developmental conditions. While both roles require occupational therapy credentials, their work environments and daily tasks differ significantly.

What are the key skills and qualifications needed to thrive as a per diem occupational therapy utilization review?

To thrive as a Per Diem Occupational Therapy Utilization Review specialist, you need a current occupational therapy license, thorough understanding of clinical guidelines, and strong analytical skills to assess medical necessity. Familiarity with electronic medical records (EMR) systems and utilization management software, along with possible certification in utilization review, is typically expected. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for this role. These competencies ensure accurate, timely, and compliant review of therapy cases, supporting quality patient care and efficient healthcare operations.

What is a per diem occupational therapy utilization review?

A Per Diem Occupational Therapy Utilization Review position involves reviewing occupational therapy cases on an as-needed basis to ensure that the care provided is medically necessary and meets established guidelines. Professionals in this role assess documentation, treatment plans, and progress notes to determine if services are appropriate and efficient. They often work remotely or in healthcare facilities, collaborating with therapists, insurance companies, and healthcare administrators. Per diem means the work schedule is flexible and based on the organization's needs, rather than being a full-time or part-time position.

What are some common challenges faced in a per diem occupational therapy utilization review role?

One common challenge in a Per Diem Occupational Therapy Utilization Review role is adapting quickly to varying caseloads and documentation systems, since assignments may change frequently across facilities or departments. Additionally, maintaining up-to-date knowledge of payer requirements and clinical guidelines is essential to make accurate recommendations on service approvals or denials. Effective communication with therapists, physicians, and insurance providers is crucial, as the role often bridges clinical care and administrative decision-making. Flexibility and strong organization skills help manage the unpredictability that comes with per diem work.
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Per Diem Occupational Therapy Utilization Review jobs near you
Infographic showing various Per Diem Occupational Therapy Utilization Review job openings in the United States as of August 2026, with employment types broken down into 25% As Needed, and 75% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Occupational Therapist (OT) Per Diem- Northern Metropolitan

Sigma Health Rehab

Monsey, NY • On-site

$41.75 - $55/hr

Other

Re-posted 28 days ago

Job description

Per Diem Occupational Therapist (OT)

Sigma Health Rehab is excited to offer a per diem Occupational Therapy (OT) position to join our team of skilled therapists in a Skilled Nursing Facility.

Sigma Health Rehab is a premier provider of innovative rehabilitation services. At Sigma Rehab, we believe in the power of rehabilitation to transform lives. Our dedicated team of professionals are passionate about helping individuals overcome challenges, reach their goals, and regain their independence.

Responsibilities Include:

  • Evaluate residents’ conditions & develop appropriate physical rehabilitation plans
  • Relieve resident’s pain using exercises, hands-on therapy & stretching
  • Help residents through their tasks and monitor their performance
  • Supervise the activities of physical therapy assistants
  • Maintain resident confidence & protects facility by keeping information confidential
  • Complies with federal, state, and local legal and professional requirements
  • Maintains a cooperative relationship among healthcare team members & contributes to team effort

PT Requirements Include:

  • Graduate of an accredited Occupational Therapy Program
  • Current New York State OT License

What We Offer Our Physical Therapists:

  • Highly competitive compensation
  • Mentorship and clinical support for all therapists
  • Willing to hire and train new grad physical therapists!
  • Career growth opportunities
  • Weekly paychecks
  • Employee recognition
  • Flexible schedules
  • Evening and weekend hours available
  • Access to state of the art technology

Sigma Health Rehab is recruiting for a per diem Occupational Therapist (OT) position at our client facility, Northern Metropolitan Center for Rehabilitation and Nursing, located in Monsey, New York. Our team of compassionate physical, occupational, and speech therapists provides rehab services in a state-of-the-art rehab gym. Whether you are a seasoned professional or at the beginning of your career, utilize your talents as a Physical Therapist to improve the lives of others.

Apply