IM-GI - PT GI Hospitalist
Omaha, NE · On-site
Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...
IM-GI - PT GI Hospitalist
Omaha, NE · On-site
Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...
Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...
Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to ...
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
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Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Director of Personal Training
Omaha, NE · On-site
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Director of Personal Training
Omaha, NE · On-site
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Trainer utilization * Monthly recurring PT revenue * PT retention & attrition * Identify under ... Goal reviews * Re-ups and long-term commitments * Client success tracking * Collaborate with ...
Physical Therapist-PRN
Cedar Creek, NE · On-site
$1.6K - $2.1K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...
Physical Therapist-PRN
Cedar Creek, NE · On-site
$1.6K - $2.1K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...
Physical Therapist - FT
Cedar Creek, NE · On-site
$1.6K - $2.1K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...
Physical Therapist - FT
Cedar Creek, NE · On-site
$1.6K - $2.1K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...
MDS Coordinator - LPN - Full-Time
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - LPN - Full-Time
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - LPN - Full-Time
Kenesaw, NE · On-site
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - LPN - Full-Time
Kenesaw, NE · On-site
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
Physical Therapist
Lincoln, NE · On-site
$55 - $65/hr
Physical Therapist (PT) - Full-Time 📍 Lincoln Meadows Care Center | Lincoln, CA 💲 $55.00 ... Participate in care conferences, utilization review, and rehabilitation meetings * Maintain ...
Physical Therapist
Lincoln, NE · On-site
$55 - $65/hr
Physical Therapist (PT) - Full-Time 📍 Lincoln Meadows Care Center | Lincoln, CA 💲 $55.00 ... Participate in care conferences, utilization review, and rehabilitation meetings * Maintain ...
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN - Full-Time
Kenesaw, NE · On-site
$38 - $42/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - LPN - Full-Time
Kenesaw, NE · On-site
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - LPN - Full-Time
Kenesaw, NE · On-site
$31.50 - $40/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
MDS Coordinator - RN
Pierce, NE · On-site
$35/hr
... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.
Pt Utilization Review information
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 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 is the difference between Pt Utilization Review vs Physical Therapist?
| Aspect | Pt Utilization Review | Physical Therapist |
|---|---|---|
| Credentials | Typically requires licensure, certification in utilization review or case management | Requires a Doctor of Physical Therapy (DPT) degree and state licensure |
| Work Environment | Healthcare facilities, insurance companies, case management settings | Hospitals, outpatient clinics, rehab centers |
| Job Focus | Reviewing medical necessity, approving or denying treatments, ensuring compliance | Assessing 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 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 popular job titles related to Pt Utilization Review jobs in Nebraska?
For Pt Utilization Review jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Pt Utilization Review jobs in Nebraska look for?
The top searched job categories for Pt Utilization Review jobs in Nebraska are:
What cities in Nebraska are hiring for Pt Utilization Review jobs?
Cities in Nebraska with the most Pt Utilization Review job openings:
Nebraska Medicine rating
7.5
Based on 154 frontline employees who took The Breakroom Quiz
233rd of 887 rated healthcare providers
Job description
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.
Shift:
First Shift (United States of America)
Physician is responsible for the care and treatment of patients within his medical specialty and professional capabilities and in accordance with the prevailing standards of care. Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to represent The Nebraska Medical Center in Omaha, Nebraska and other communities as requested by the Hospital.
Required Qualifications:
• Prior training and experience to provide, direct, and to supervision patient care required.
• Medical Doctor or Doctor of Osteopathy required.
• Successful completion of post-graduate training in a specialty and/or subspecialty residency and/or fellowship program accredited by the ACGME (Accreditation Council for Graduate Medical Education) or other entity acceptable to The Nebraska Medical Center's Medical Staff Executive and Credentials Committee Policies/Standards required.
• Possess excellent verbal and written communication skills.
• Able to handle multiple competing priorities.
• Must hold and continue to hold unrestricted license to practice medicine and a license to prescribe controlled substances in the state of Nebraska and other states as requested by the Nebraska Medical Center.
• Must hold Board Certification with applicable specialty or subspecialty as outlined by The Nebraska Medical Center's and or Bellevue Medical Center's Medical Staff Credentialing and Privileging Policies.
• Meet the requirements for membership on the medical staff at The Nebraska Medical Center and/or Bellevue Medical Center required.
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.
Shift:
First Shift (United States of America)
Physician is responsible for the care and treatment of patients within his medical specialty and professional capabilities and in accordance with the prevailing standards of care. Physician will participate in quality assurance, utilization review, and continuous quality improvement activities of The Nebraska Medical Center. Physician will utilize reasonable efforts to represent The Nebraska Medical Center in Omaha, Nebraska and other communities as requested by the Hospital.
Required Qualifications:
• Prior training and experience to provide, direct, and to supervision patient care required.
• Medical Doctor or Doctor of Osteopathy required.
• Successful completion of post-graduate training in a specialty and/or subspecialty residency and/or fellowship program accredited by the ACGME (Accreditation Council for Graduate Medical Education) or other entity acceptable to The Nebraska Medical Center's Medical Staff Executive and Credentials Committee Policies/Standards required.
• Possess excellent verbal and written communication skills.
• Able to handle multiple competing priorities.
• Must hold and continue to hold unrestricted license to practice medicine and a license to prescribe controlled substances in the state of Nebraska and other states as requested by the Nebraska Medical Center.
• Must hold Board Certification with applicable specialty or subspecialty as outlined by The Nebraska Medical Center's and or Bellevue Medical Center's Medical Staff Credentialing and Privileging Policies.
• Meet the requirements for membership on the medical staff at The Nebraska Medical Center and/or Bellevue Medical Center required.
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.
What Nebraska Medicine employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Nebraska Medicine
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Omaha, NE, US
Year founded
1997