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Pt Utilization Review Jobs in Ohio (NOW HIRING)

Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ... Supervisory Requirements Supervises PT assistants (PTA), aides, and students. Qualification ...

Physical Therapist (PT)-All Shifts

Mentor, OH · On-site

$1.4K - $1.9K/wk

Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ... Supervisory Requirements Supervises PT assistants (PTA), aides, and students. Qualification ...

PRN Physical Therapist (PT)

Cincinnati, OH · On-site

$1.5K - $2.0K/wk

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Evaluate, Review, and Screen patient's/resident's medical charts, evaluations under physician order ...

PRN Physical Therapist (PT)

Cincinnati, OH · On-site

$1.5K - $2.0K/wk

... equipment utilization. * Must demonstrate knowledge of state and federal accreditation ... Evaluate, Review, and Screen patient's/resident's medical charts, evaluations under physician order ...

Physical Therapist -- Full Time

North Royalton, OH · On-site

$1.6K - $2.0K/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

Willoughby, OH · On-site

$1.5K - $2.0K/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

Willoughby, OH · On-site

$1.5K - $2.0K/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

Willoughby, OH · On-site

$1.5K - $2.0K/wk

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...

Physical Therapist

Ashland, OH · On-site

$1.4K - $1.8K/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 -- Full Time

North Royalton, OH · On-site

$1.6K - $2.0K/wk

... Utilization Review meetings and Rehabilitation Conferences as needed. • Participate in in ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...

Showing results 21-40

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 Ohio?

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

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

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

Infographic showing various Pt Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Physical Therapist Outpatient and Acute Care

OhioHealth

Circleville, OH

$1.5K - $2.0K/wk

Full-time

Re-posted 14 days ago


OhioHealth rating

7.0

Company rating: 7.0 out of 10

Based on 341 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

To competently interpret the patients history and baseline level of function and then to complete an assessment appropriate to the patients areas of deficits. Based on problems identified, the physical therapist establishes and carries out a plan of care to include patient treatment and reassessment, patient/family instruction, discharge planning, documentation in the medical record and communication with physicians and other medical staff. This position helps patients achieve maximum functional outcomes. Actively participates in departmental functions.

Responsibilities And Duties:

Driving is an essential function of the job.
90% - Direct Patient Care – Evaluates and treats patients after physician referral.
Administers portions of the assessment that is assigned by the Physical Therapist (PT) in which Physical Therapy Assistant (PTA) has demonstrated to be competent.
Assists in reassessment process, reporting patient performance to the PT.
Assists PT in implementation of the patients plan of care based on occupational performance frames of reference(s): bio-mechanical, rehabilitation, sensorimotor.
Attends multidisciplinary patient care meetings.
Plans and helps coordinate discharge plan with multidisciplinary team.
Educates patient and caregiver/family.
Recommends Medical Equipment required for discharge.
Provides information to Physicians, Nurses, Care Managers, Social Workers, and other team members.
5%
Documents evaluation performance directed and interpreted by the PT, progress towards goals, discharge plan/continuity of care for the multidisciplinary team, and other involved medical and insurance parties.
All documentation to be co-signed by the supervising PT.
5% - Indirect Department Functions.
Delegates assignments to Rehab Technicians.
Remains involved in department process improvements utilization review and quality assurance program.
Educates others about Physical Therapy.
Takes active role in orienting new staff members.
Assists in clinical instruction of PTA students.
Educates other disciplines and medical/hospital personnel on PT purpose, goals and treatment policies/procedures.
Assumes other duties delegated by management.
The major duties, responsibilities and essential functions listed above are not intended to be all inclusive of the duties, responsibilities and essential functions to be performed by employees in this job.  Employee is expected to perform all other duties as requested by management.
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.  
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

Minimum Qualifications:

Bachelor's Degree: Physical Therapy (Required)DL-HC - Driver's License only if in a Home Care department - Department of Motor Vehicles, LIC - Licensed in Field - State of Ohio, PT1 - Physical Therapist License - American Board of Physical Therapy Specialties

Additional Job Description:

Licensed in the State of Ohio. Basic computer skills. Entry level new graduate, if facility has at least one veteran Physical Therapist to mentor, otherwise, at least one year of clinical Experience

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Outpatient Rehab

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 


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Pay

Benefits

Hours and flexibility

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About OhioHealth

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OhioHealth is a not-for-profit, faith-based health system based in Columbus, Ohio, US. Operating since 1981, it is one of the largest and most comprehensive health systems in its area of operation. OhioHealth's business is grounded at the union of the healthcare and medical industry. The organization provides a full range of healthcare services from acute hospital care to rehabilitative and long-term care, including medical research and development.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US