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Pt Utilization Review Jobs in Hawaii (NOW HIRING)

Director of Rehab/PTA

Mcbh Kaneohe Bay, HI · On-site

$87K - $103K/yr

Reviews monthly department and individual therapist outcomes and supports staff in identifying ... Assumes responsibility for daily staffing and utilization with input from treating therapists ...

Physical Therapist

Honolulu, HI · On-site

$1.6K - $2.1K/wk

The PT will also refer patients to other POTFF staff members as needed. The contractor shall ... utilization of required databases. * Conduct peer (record) reviews for the HP Staff as directed.

Pt Utilization Review information

What is a PT Utilization Review?

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 are the key skills and qualifications needed to thrive as a PT Utilization Review specialist?

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.

What are the typical challenges faced by PT 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 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 popular job titles related to Pt Utilization Review jobs in Hawaii?

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

What cities in Hawaii are hiring for Pt Utilization Review jobs?

Cities in Hawaii with the most Pt Utilization Review job openings:

Infographic showing various Pt Utilization Review job openings in Hawaii as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution.

Director of Rehab - Physical Therapist (PT)

Genesis Healthcare Services

Honolulu, HI • On-site

$86K - $99K/yr

Other

Medical, Dental, Vision, PTO

Posted 29 days ago


Genesis HealthCare rating

5.7

Company rating: 5.7 out of 10

Based on 198 frontline employees who took The Breakroom Quiz

152nd of 245 rated social care providers


Job description

Overview

At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.

With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.

Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.

Why Powerback?

  • Benefits : We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.

  • Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.

  • Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.

  • Continuing Education: Keep growing with free CEUs through Medbridge.

  • H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.

  • Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.

Responsibilities

The Director of Rehab PT is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also assists in integration of rehabilitation services in all settings. The Director of Rehab PT ensures that the highest standard of rehabilitation services is delivered and maintained.

  1. Assumes responsibility for the efficient and profitable management of rehabilitation services in assigned site(s) of service.

  2. Provides direct patient care.

  3. Monitors the standard of clinical services being delivered and maintained in all sites and ensures an ethical and compliant product is being delivered.

  4. Operationally manages Powerback Rehabilitation personnel and consultants within facility or home care contracts.

  5. Ensures accountability to the provision of evidence based care and adherence to care delivery standards.

  6. Reviews monthly department and individual therapist outcomes and supports staff in identifying strategies to improve outcomes as needed.

  7. Assists therapy staff in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient.

  8. Takes responsibility for the development and support of all staff in their site to include rounding, coaching and mentoring.

  9. Assumes responsibility for annual merit evaluation of therapy staff.

  10. Assumes responsibility for hiring therapy staff (in conjunction with the Clinical Operations Area Director).

  11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and recommendations from the Clinical Director.

  12. Administers financial controls of revenue and expenses.

  13. Assumes responsibility for facility reports on a weekly and monthly basis.

  14. Assists Clinical Operations Area Director in annual budget preparation.

  15. Assumes responsibility for meeting annual budget goals as set by the Clinical Operations Area Director.

  16. Assists with clinical orientation and ensures that there is a quality orientation process for new rehab staff.

  17. Supports the delivery of the highest standard of rehab services through appropriate utilization of resources, the promotion of clinical programs, and staff development in collaboration with licensed therapists, the Clinical Operations Area Director and the Clinical Director.

  18. Promotes all Powerback Rehabilitation products and services whenever possible.

  19. Assists Clinical Operations Area Director in identifying and securing new contracts.

  20. Develops and maintains relationship with facility management team and staff as a representative of Powerback Rehabilitation.

  21. Ensures that the clinical management of the rehab department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient identification is overseen.

  22. Completes monthly reports and formally reviews them with the facility administration.

  23. Performs other related duties as required.

Qualifications

  1. They must have a valid Physical Therapy license in the state(s) of practice, or proof of license eligibility.

  2. They must have a Master's degree in Physical Therapy; or

  3. They must have a Master's degree in a Physical Therapy related field in addition to a Bachelor's degree in Physical Therapy; or

  4. They must have a Bachelor's degree in Physical Therapy plus 5 years of progressively responsible PT experience.

  5. The qualifying Physical Therapy degree earned outside of the U.S. must be evaluated to be the U.S. equivalent to a degree in Physical Therapy.

  6. Additionally, the Director of Rehab PT must have three years direct patient care experience and one year of management experience.

  7. A thorough knowledge of Medicare and third party billing is also required.

Posted Salary Range

USD $97,000.00 - USD $110,000.00 /Yr.

Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed.


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