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Physical Therapy Case Reviewer Jobs (NOW HIRING)

The Cell Therapy Case Manager I coordinates complex end-to-end schedules for cellular therapy ... Supports patient insurance pre-authorization and clearance, case reviews, and clinical systems and ...

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Physical Therapy Case Reviewer information

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How much do physical therapy case reviewer jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for physical therapy case reviewer in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a physical therapy case reviewer, and why are they important?

To thrive as a Physical Therapy Case Reviewer, you need a valid physical therapy license, strong clinical judgment, and in-depth knowledge of rehabilitation protocols and insurance guidelines. Familiarity with electronic health records (EHR), utilization review software, and case management systems is typically required. Exceptional attention to detail, critical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate case assessments, compliance with regulatory standards, and effective coordination of patient care.

What is a physical therapy case reviewer?

A Physical Therapy Case Reviewer is a licensed physical therapist who evaluates patient records, treatment plans, and progress reports to ensure that physical therapy services are medically necessary, appropriate, and comply with insurance or regulatory guidelines. They work for insurance companies, healthcare organizations, or third-party review agencies, providing expert opinions on whether proposed or ongoing treatments meet accepted standards of care. Their reviews help determine the approval or denial of therapy claims and can also guide care improvement and compliance efforts.

How does a physical therapy case reviewer typically collaborate with clinical staff and insurance providers?

Physical Therapy Case Reviewers frequently work with both clinical teams and insurance providers to ensure that patient care plans meet established guidelines and are medically necessary. They review documentation from physical therapists, clarify any discrepancies, and may participate in case discussions to support treatment recommendations. Regular communication with insurance representatives is essential to address queries or appeal denials, making strong interpersonal and negotiation skills valuable in this role. This collaborative process helps streamline care delivery and ensures compliance with regulations and organizational policies.
More about Physical Therapy Case Reviewer jobs
What states have the most Physical Therapy Case Reviewer jobs? States with the most job openings for Physical Therapy Case Reviewer jobs include:
Infographic showing various Physical Therapy Case Reviewer job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Home Health Physical Therapy Case Manager

Advocate Aurora Health

Milwaukee, WI • On-site

$44.15 - $66.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 773 frontline employees who took The Breakroom Quiz

185th of 887 rated healthcare providers


Job description

Department:

39122 Milwaukee North 14 - Home Care Physical Therapy

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Location is Milwaukee. Zip codes as follows: 23226,53225,53213,53222,53210,53206,53216,53208.

M-F 8am to 4:30pm with some weekend rotation requirements.

No holidays, no night on call.

Weekend requirements one weekend day about every 6 weeks

Pay Range

$44.15 - $66.25

Arranges necessary health-care services for patients requiring Physical Therapy services. Evaluates and executes appropriate treatment for referred patients with emphasis on quality of care, continuity of services, and cost-effectiveness. Provides medically prescribed physical therapy in accordance with policies and professional standards and acts as a resource for employees and students.


Conducts a physical therapy evaluation of each patient and establishes a plan of care and treatment goals. Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integument evaluations utilizing appropriate methods. Evaluates outcomes within an appropriate time frame.

Provides on-going assessment of patient response to treatments and teaches and applies interventions as appropriate. Updates and revises plan of care as indicated and provides physician with status report on a regular basis.

Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected as they occur. Completes a plan of care as indicated and provides physician with status report. Maintains and updates clinical and patient records according to state and federal guidelines.

Manages assigned caseload including scheduling and informing site leadership of coverage needs and ability to provide coverage. Manages patient's medical condition including medications. Acts as a patient advocate to insure optimal outcomes. Manages assigned caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress, Prospective Payment Plan (PPS), and Outcome Based Quality Initiatives (OBQI) outcomes.

May manage a caseload of Physical Therapist Assistants (PTA) including evaluating their patients, insuring compliance with established Care Plan, and adhering to all State of Wisconsin regulations regarding PTA supervision.

Performs Home Health Aide joint visits as appropriate to maximize patient's functional abilities in the home. May assist with evaluating patients, turning patient over to PTA and informing PTA of Plan of Care (POC) per State of Wisconsin regulations. Teaches appropriate treatment procedures and supportive activities to patients and caregivers and develops plan for obtaining adaptive devices as needed.

Discusses caseload issues and changes in case census with management. Communicates problems to physicians and management, and clearly states plans, actions and goals so changes are reflected as they occur.

Participates in chart audits and continuous quality improvement activities. Facilitates discharge planning process and utilizes interagency/system and community resources to assure continuity of care after discharge.

Acts as a resource to employees, which includes training/orienting, mentoring, and providing guidance on more complex issues. Serves as an instructor for students, meeting all expectations of the Clinical Student Program.

Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.

Scheduled Hours

M-F 8am to 4:30pm with some weekend rotation requirements.

$10,000 Sign on Bonus for External Hires

Licenses & Certifications

Physical Therapist license issued by the state of Wisconsin, and

Basic Life Support (BLS) for Healthcare Providerscertification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and

A valid drivers license issued by the Division of Motor Vehicles.

Degrees

Bachelor's Degree in Physical Therapy.

Required Functional Experience

Typically requires 3 years of experience in physical therapy rehabilitation experience within an acute hospital, home health care, or other relevant environment.

Knowledge, Skills & Abilities

Demonstrated knowledge of indications and contraindications of modalities and exercise. Demonstrated skill in use of modalities, exercise equipment, and other devices that are available in work area.Demonstrated proficiency in clinical skills with the ability to work independently and make sound judgments.Good human relations, organization, problem solving, and decision-making skills.Basic proficiency in the use of Microsoft Office (Excel, PowerPoint and Word) or similar products.Must possess and provide proof of a valid Driver License and a registered, functional car with adequate insurance coverage.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job

  • Incentive pay for select positions

  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs

  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

  • Flexible Spending Accounts for eligible health care and dependent care expenses

  • Family benefits such as adoption assistance and paid parental leave

  • Defined contribution retirement plans with employer match and other financial wellness programs

  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.


What Advocate Aurora Health employees say

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US