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Pt Utilization Review Jobs in Virginia (NOW HIRING)

August Iliff

Physical Therapist

Dunn Loring, VA · On-site

$1.6K - $2.1K/wk

... and utilization review meetings • Educate residents, families, and staff on therapy goals and ... PT) • Current state licensure in PT • Long-term care experience preferred • Strong ...

August Iliff

Physical Therapist

Dunn Loring, VA · On-site

$45 - $58/hr

... and utilization review meetings • Educate residents, families, and staff on therapy goals and ... PT) • Current state licensure in PT • Long-term care experience preferred • Strong ...

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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 Virginia?

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

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

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

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

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

Pt Utilization Review jobs near you
Infographic showing various Pt Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Physical Therapist

August Healthcare at Iliff

Dunn Loring, VA

$45 - $58/hr

Other

Re-posted 16 days ago

Job description

Physical Therapist (PT) 

Full-Time | Part-Time | PRN 

** $10,000 Sign-On Bonus for Full-Time **
** H1-B Visa Sponsorship Available!! **


We are seeking a licensed Physical Therapist to provide skilled therapy services to residents in accordance with physician orders and care plans. This role focuses on improving resident function, mobility, communication, and quality of life. 

This position is ideal for a therapist who values patient-centered care, collaboration, and clinical excellence. 

Responsibilities 

• Evaluate residents and develop individualized treatment plans 
• Provide therapy services in accordance with physician orders 
• Document evaluations, treatments, progress notes, and discharge summaries 
• Collaborate with nursing and interdisciplinary teams 
• Participate in care planning and utilization review meetings 
• Educate residents, families, and staff on therapy goals and plans 
• Maintain productivity and documentation standards 
• Support regulatory compliance and survey readiness 

Qualifications 

• Graduate of an accredited therapy program (PT) 
• Current state licensure in PT 
• Long-term care experience preferred 
• Strong documentation and communication skills 
• Patient-focused and team-oriented 

Physical Requirements 

• Standing, walking, bending, and assisting residents 
• Ability to lift and support residents during therapy 
• Exposure to clinical environments 
Reasonable accommodations may be provided. 

Why Join Us 

• Clinical role with direct resident impact 
• Collaborative rehab and care environment 
• Flexible scheduling options 
• Purpose-driven work 

Apply today to support resident recovery and independence. 


Recruiter Contact Information:
Call-Text-Email Tracy at 972-987-9209 | TLaNeve@qrmhealth.com