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Per Diem Occupational Therapy Utilization Review Jobs

Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

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Per Diem Occupational Therapy Utilization Review information

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

As of Sep 4, 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 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 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 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.

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.

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The top searched job categories for Per Diem Occupational Therapy Utilization Review jobs are:

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 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $94,375 per year, or $45.4 per hour.

Occupational Therapy Assistant (COTA)- Per Diem- Boro Park

Sigma Health Rehab

Brooklyn, NY โ€ข On-site

$33 - $39/day

Other

Re-posted 6 days ago


Job description

Sigma Health Rehab is actively seeking a per diem Occupational Therapy Assistant (OTA/COTA) to work in a Skilled Nursing Facility.

Who we are:

Sigma Health Rehab is 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.

Key Responsibilities:

  • Select therapy activities that follow the plan of care set out by the supervising Occupational Therapist

  • Assist residents in carrying out daily activities.

  • Monitor residents' performance in therapy activities, provide encouragement and document on residents as needed.

  • Teach residents how to use special equipment to assist with daily function.

  • collaborate with the OT to establish a rehabilitation plan.

  • Maintains a cooperative relationship among healthcare team members & contributes to team effort

COTA Requirements Include:

  • Graduate of an accredited OTA Program

  • Current New York State OTA License

What we offer our OTA/COTAs:

·           Highly competitive compensation

·           Mentorship and clinical support for all therapists

·           PT career growth opportunities

·           Weekly paychecks

·           Employee recognition

·           Flexible schedules

·           Evening and weekend hours available

·           Access to sate of the art technology

Boro Park Center for Rehabilitation and Nursing, located in Brooklyn, New York is seeking a compassionate and dedicated per diem Occupational Therapy Assistant (COTA)  who is currently licensed in New York or is a graduate from an approved Occupational Therapy Assistant (COTA) program and is actively working toward obtaining licensure. Be a part of our experienced team of rehabilitation professionals who are committed to helping each patient regain independence and achieve their rehab goals in our state-of- the art rehab gym. Whether you are a seasoned professional or at the beginning of your career, join our team and utilize your talents as an Occupational Therapy Assistant to improve the lives of others.