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Pt Ot Utilization Review Jobs in Indiana (NOW HIRING)

Encompass Health

Case Manager

Newburgh, IN · On-site

$19 - $24.50/hr

... part-time employees and their families. * Generous paid time off that accrues over time. * ... Participate in utilization review process: data collection, trend review, and resolution actions.

Encompass Health

Wound Clinician

Newburgh, IN · On-site

Licensed clinician (RN, LPN/LVN, PT, OT) active in the state. * Certification in Wound Care and ... review the Friday night admissions. Will work day of their choosing during the week leading up to ...

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Showing results 21-40

All JobsPt Ot Utilization Review JobsPt Ot Utilization Review Jobs in Indiana

Pt Ot Utilization Review information

See Indiana salary details

$14

$30

$51

How much do pt ot utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for pt ot utilization review in Indiana is $30.39, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $38.65 per hour, depending on experience, location, and employer.

What is a PT OT utilization review?

A PT OT Utilization Review is a process where physical therapy (PT) and occupational therapy (OT) services are evaluated to ensure that they are medically necessary, appropriate, and efficient. Utilization review professionals review patient records, treatment plans, and clinical documentation to determine if the care provided meets established guidelines and standards. This role is often performed by licensed PTs or OTs working for insurance companies, healthcare providers, or third-party administrators. The main goal is to promote high-quality care while preventing unnecessary or excessive therapy services.

What are jobs in PT OT utilization review?

PT/OT utilization review jobs involve nurses and clinical reviewers who review an occupational or physical therapy patient case documentation to determine if the services the patient received meet the qualifications for their insurance coverage. Your responsibilities as a PT/OT utilization review worker are to write letters to an insurance company about the services a physical or occupational therapist provided, review a patient’s medical records, monitor a patient’s progress with therapy, and continue contact with a patient’s insurance company, the patient, and the patient’s medical team to ensure proper coverage of services. These jobs can be both part-time and full-time.

What are the key skills and qualifications needed to thrive as a PT OT utilization review specialist, and why are they important?

To thrive as a PT/OT Utilization Review Specialist, you generally need a valid physical or occupational therapy license, strong clinical knowledge, and experience in rehabilitation settings. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance guidelines and medical necessity criteria are important technical qualifications. Excellent communication, critical thinking, and attention to detail are essential soft skills for collaborating with providers and payers. These competencies ensure accurate evaluations, compliance with regulations, and optimal patient outcomes while managing healthcare costs.

What are some common challenges faced by PT OT utilization review professionals, and how can they be managed?

PT/OT Utilization Review professionals often encounter challenges such as balancing clinical judgment with payer guidelines, managing a high volume of case reviews, and navigating communication between providers and insurance companies. Staying current with evolving policies and maintaining strong documentation are key to overcoming these obstacles. Effective time management and proactive collaboration with both clinical teams and payers can help ensure timely and accurate reviews while supporting patient care decisions.

What is the difference between Pt Ot Utilization Review vs Pt Ot Case Management?

AspectPt Ot Utilization ReviewPt Ot Case Management
CredentialsLicensed Occupational Therapist (OT)Licensed Occupational Therapist (OT) with case management training
Work EnvironmentInsurance companies, healthcare facilities, or third-party review organizationsHospitals, clinics, insurance companies, or outpatient settings
Primary FocusAssessing medical necessity and approving treatment plansCoordinating patient care, advocating for patients, and managing treatment progress

While both roles involve occupational therapy expertise, Pt Ot Utilization Review primarily focuses on evaluating the necessity of services, whereas Pt Ot Case Management emphasizes coordinating ongoing patient care and support. Understanding these differences helps clarify career paths and job expectations in the occupational therapy field.

More about Pt Ot Utilization Review jobs

What are popular job titles related to Pt Ot Utilization Review jobs in Indiana?

For Pt Ot Utilization Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Pt Ot Utilization Review jobs in Indiana look for?

The top searched job categories for Pt Ot Utilization Review jobs in Indiana are:

Pt Ot Utilization Review jobs near you
Infographic showing various Pt Ot Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 100% Part Time. Highlights an 79% In-person, 14% Hybrid, and 7% Remote job distribution, with an average salary of $63,218 per year, or $30.4 per hour.

Case Manager

Encompass Health

Newburgh, IN • On-site

$19 - $24.50/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Encompass Health rating

7.0

Company rating: 7.0 out of 10

Based on 423 frontline employees who took The Breakroom Quiz

420th of 898 rated healthcare providers

Job description

Case Manager Career Opportunity

Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
 

A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits

At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be

  • Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
  • Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
  • Participate in planning for and the execution of patient discharge experience.
  • Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
  • Facilitate team conferences weekly and coordinate all treatment plan modifications.
  • Complete case management addendums and all required documentation.
  • Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
  • Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
  • Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
  • Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
  • Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
  • Perform assessment of goals and complete case management addendum within 48 hours of admission.
  • Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
  • Schedule and facilitate family conferences as needed.
  • Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
  • Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
  • Make appropriate/timely referrals, including documentation to post discharge providers/physician
  • Ensure accuracy of discharge and payor-related information in the patient record
  • Participate in utilization review process: data collection, trend review, and resolution actions.
  • Participate in case management on-call schedule as needed.

Qualifications

  •  License or Certification:
    • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
    • If licensure is required for one's discipline within the state, individual must hold an active license.
    • Must meet eligibility requirements for CCM or ACM certification upon entry into this position OR within two years of entry into the position.
    • CCM or ACM certification required OR must be obtained within two years of being placed in the Case Manager II position.
  • Minimum Qualifications:
    •  For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
    •  For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
    • 2 years of rehabilitation experience preferred.
The Encompass Health Way 

We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! 
 
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. 

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About Encompass Health

Sourced by ZipRecruiter

Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.

Industry

Hospitals and outpatient health care

Company size

10,000+ Employees

Headquarters location

Birmingham, AL, US

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