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Physical Therapy Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Clinician

Augusta, GA · On-site

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

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

... physical therapy, cardiac rehabilitation, or nutritional service) • Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

Uoflhealth

RN Utilization Review

Louisville, KY

... i.e. physical therapy, cardiac rehabilitation, or nutritional service) Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

... physical therapy, cardiac rehabilitation, or nutritional service) • Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint ...

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Physical Therapy Utilization Review information

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$53

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

As of Aug 16, 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 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.

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 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.
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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, 76% Full Time, 18% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Clinician

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

495th of 887 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 Clinician 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. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)
Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)
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, LMFT, 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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