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Physical Therapy Utilization Review Jobs (NOW HIRING)

Sentara Health Plans

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site

$65 - $85/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

Sentara Health Plans

$65 - $85/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site

$80 - $95/hr

... physical healthcare services. * Advocate for members by promoting access to timely, effective care ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) with Behavioral Health ...

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Physical Therapy Utilization Review information

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$15

$31

$53

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

As of Sep 5, 2026, the average hourly pay for physical therapy utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is physical therapy utilization review?

Physical Therapy Utilization Review is a process in which healthcare professionals evaluate the necessity, efficiency, and appropriateness of physical therapy services provided to patients. Utilization review specialists assess patient records, treatment plans, and progress to ensure that therapy services are evidence-based and meet insurance or regulatory guidelines. This helps control healthcare costs, prevents unnecessary treatments, and ensures patients receive optimal care. Utilization review can be conducted by physical therapists, nurses, or other qualified professionals within insurance companies, hospitals, or third-party organizations.

What are the key skills and qualifications needed to thrive as a physical therapy utilization review specialist?

To thrive as a Physical Therapy Utilization Review specialist, you need a solid background in physical therapy, clinical assessment, and knowledge of insurance guidelines, typically requiring a valid PT license and clinical experience. Familiarity with utilization management software, electronic health records (EHR), and compliance documentation systems is often necessary. Strong analytical skills, attention to detail, and clear communication help in evaluating treatment plans and collaborating with providers. These competencies are essential for ensuring appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are some common challenges faced in a physical therapy utilization review role, and how can I prepare for them?

Professionals in Physical Therapy Utilization Review often face the challenge of balancing clinical judgment with payer guidelines and policies. Reviewing cases requires strong attention to detail, as well as the ability to interpret medical records efficiently while ensuring compliance with insurance requirements. You may also encounter situations where you need to communicate complex decisions to clinicians or patients, so strong communication and negotiation skills are essential. Staying current with evidence-based practices and insurer protocols will help you navigate these challenges effectively.

What is the difference between Physical Therapy Utilization Review vs Physical Therapist?

AspectPhysical Therapy Utilization ReviewPhysical Therapist
CredentialsTypically requires a license in healthcare or related field, with additional training in utilization reviewRequires a state license as a licensed physical therapist, with DPT degree
Work EnvironmentMostly office-based, reviewing patient records and insurance claimsClinical settings, hospitals, outpatient clinics, providing direct patient care
Employer & Industry UsageInsurance companies, healthcare organizations, utilization review companiesHospitals, outpatient clinics, rehab centers, private practices

Physical Therapy Utilization Review focuses on evaluating the necessity and appropriateness of physical therapy services for insurance and healthcare compliance, often working behind the scenes. In contrast, a Physical Therapist provides direct patient care, developing treatment plans and performing therapy sessions. Both roles require healthcare knowledge, but their daily tasks and work environments differ significantly.

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Physical Therapy Utilization Review jobs near you
Infographic showing various Physical Therapy Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

UTILIZATION REVIEW COORDINATOR

MOUNTAIN VIEW HOSPITAL LLC

Idaho Falls, ID • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Mountain View Hospital (Idaho Falls) rating

5.5

Company rating: 5.5 out of 10

Based on 60 frontline employees who took The Breakroom Quiz

944th of 1,065 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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