ZipRecruiter

Log In

1

Pt Utilization Review Jobs (NOW HIRING)

PACS

Physical Therapist (PT)

Anderson, SC · On-site

$40 - $50/hr

Physical Therapist (PT) - Full-Time $40-$50/hour Anderson, SC About Us Linley Park Post Acute is a ... Participate in care conferences, utilization review, and rehab meetings * Educate residents ...

PACS

Physical Therapist (PT) - PRN

Concord, CA · On-site

$64 - $65/hr

Physical Therapist (PT) - PRN Make a Meaningful Clinical Impact at Concord Post Acute Concord Post ... Participate in interdisciplinary care planning, patient conferences, and utilization review ...

Pacs

Physical Therapist (PT) - PRN

Concord, NH

$64 - $65/hr

Physical Therapist (PT) - PRN Make a Meaningful Clinical Impact at Concord Post Acute Concord Post ... Participate in interdisciplinary care planning, patient conferences, and utilization review ...

next page

Showing results 1-20

All JobsPt Utilization Review Jobs

Pt Utilization Review information

See salary details

$21

$42

$68

How much do pt utilization review jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for pt utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

Will PT be replaced by AI?

Physical Therapy (PT) utilization review involves assessing patient care plans and insurance claims, a role that requires clinical judgment and understanding of individual patient needs. While AI can assist with data analysis and administrative tasks, it is unlikely to fully replace PT professionals, as human expertise is essential for accurate assessments and personalized care. PT roles will likely evolve to incorporate AI tools to improve efficiency rather than be replaced entirely.

What are the typical challenges faced by Physical Therapy Utilization Review professionals, and how can they be managed?

Physical Therapy Utilization Review professionals often encounter challenges such as balancing clinical judgment with payer guidelines, managing high caseloads, and communicating effectively with both therapists and insurance representatives. Navigating differing opinions about medical necessity and ensuring timely reviews are also common hurdles. Building strong organizational skills, staying updated on insurance policies, and fostering collaborative relationships with clinical teams can help manage these challenges and ensure optimal patient care.

What are Pt Utilization Review jobs?

Pt Utilization Review jobs involve reviewing patient medical records and treatment plans to ensure that the care provided is medically necessary, appropriate, and in line with insurance policies or regulatory guidelines. Professionals in these roles, often physical therapists or nurses, assess whether ongoing physical therapy services are justified and help facilitate communication between healthcare providers and insurance companies. Their goal is to promote quality patient care while managing healthcare costs and ensuring compliance with regulations.

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

AspectPt Utilization ReviewPhysical Therapist
CredentialsTypically requires licensure, certification in utilization review or case managementRequires a Doctor of Physical Therapy (DPT) degree and state licensure
Work EnvironmentHealthcare facilities, insurance companies, case management settingsHospitals, outpatient clinics, rehab centers
Job FocusReviewing medical necessity, approving or denying treatments, ensuring complianceAssessing and treating patients' physical conditions, developing rehab plans

While both roles operate within healthcare, Pt Utilization Review focuses on evaluating treatment necessity and insurance compliance, whereas Physical Therapists provide direct patient care and rehabilitation services.

What are the key skills and qualifications needed to thrive as a Physical Therapy Utilization Review (PT Utilization Review) Specialist, and why are they important?

To thrive as a PT Utilization Review Specialist, you need a background in physical therapy (often requiring a DPT degree and state licensure) and strong analytical skills to assess medical necessity and treatment appropriateness. Familiarity with electronic medical records (EMRs), utilization management software, and knowledge of insurance guidelines are typically required. Exceptional communication, critical thinking, and attention to detail help facilitate collaboration with providers and ensure accurate case reviews. These skills are crucial for ensuring patients receive appropriate, evidence-based care while maintaining compliance with regulatory and payer requirements.

How to get a utilization review job?

To get a utilization review job, candidates typically need a healthcare-related degree such as nursing, health administration, or a related field, along with relevant experience in medical coding, billing, or clinical review. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or a nursing license can improve job prospects. Strong analytical skills, knowledge of insurance policies, and familiarity with electronic health records are also important for success in this role.

How to become a utilization review physical therapist?

To become a utilization review physical therapist, you need to earn a Doctor of Physical Therapy (DPT) degree, obtain licensure in your state, and gain experience as a licensed physical therapist. Additional certification in utilization review or case management, such as the Certified Case Manager (CCM) credential, can enhance job prospects in this specialized role.
More about Pt Utilization Review jobs
What cities are hiring for Pt Utilization Review jobs? Cities with the most Pt Utilization Review job openings:
What states have the most Pt Utilization Review jobs? States with the most job openings for Pt Utilization Review jobs include:
What job categories do people searching Pt Utilization Review jobs look for? The top searched job categories for Pt Utilization Review jobs are:
Pt Utilization Review jobs near you
Infographic showing various Pt Utilization Review job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Therapist

Utilization Review Therapist

Odyssey House Inc.

Salt Lake City, UT • On-site

$65K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

Job description

Description


Odyssey House is looking for a Full-Time Utilization Review Specialist.


Summary: Odyssey House's Mission is "Empowering people to heal and build better lives. We are dedicated to helping individuals and families reclaim their lives through effective substance use treatment, medical care, prevention, and mental health services. Odyssey House continues to receive Best of State awards for our clinical work and has received Top Workplace Awards. Join our amazing team of healthcare professionals today!


Compensation: Starting at $65,000.00 for an associate-level clinician. Compensation can increase based on licensure and experience.


Full-Time Benefits:

  • $9k per year tuition eligible
  • Access to 24/7 EAP program (Employee Assistance Program) for Mental Health support and more!
  • Opportunities for paid continuing education/training
  • Monthly incentives and awards
  • Flexible scheduling
  • Casual dress and atmosphere
  • Opportunities for bonuses, awards, raises, and promotions
  • Incredible health insurance (medical, dental, vision, FSA, long and short-term disability)
  • Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 5% after 1 year 
  • 35 paid days off (additional PTO accrual after 1 year)
  • EXTRA time off and gift packages for PT and FT staff that stay more than 90 days! 
  • Sabbatical Program - where we pay you to take a vacation after 5 years of service! 
  • On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply)
  • UTA free passes available for your work commute 


Functions of the Job:

  • Track UCE/UR/Insurance Due Dates for all funding and ensure timely submission of all requests.
  • Review all UR submissions for medical necessity, make corrections to UR, and submit for approval.
  • Provide ongoing training to staff regarding writing to medical necessity or other issues that present during reviewing UMs.
  • Resolve funding denials through immediate UR modification and resubmission to minimize loss of days.
  • Update Best Notes and UWITS, as needed, to reflect authorized days.
  • Generate Reports with due dates, notify staff of changes, and manage staff progress.
  • Complete monthly Medicaid check (upload snapshots to Best Notes.)
  • Complete "doc-to-doc" calls, as needed, for insurance authorization.
  • Communicate with OH billing department to resolve issues.
  • Complete all responsibilities in a timely, thorough, and professional manner.
  • Demonstrate fluency in ASAM and DSM-V through successful authorization and processing of UMs.
  • Other Duties as assigned.

Requirements


Licensure / Education / Prior Experience Required:

  • Licensed Mental Health Professional, including - CSW, LCSW, CMHC, ACHMC, LMFT, MFTI. 
  • Graduate degree in the mental health field.
  • Willingness and ability to pass a criminal background check
  • First Aid and CPR Certification (available at Odyssey House)
  • Must comply with annual TB tests and Flu immunization (and other immunizations as needed)
  • Must meet employment eligibility
  • Must be able to work variable shifts as needed


All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.   


Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job positions, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.   


Physical Demands of the Job: Ability to lift up to 15 lbs., drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times. Able to passively restrain residents without likely injury to self due to existing medical condition.  


EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.  


#ZR

Apply