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Pt Utilization Review Jobs in Virginia (NOW HIRING)

QRM Health

Physical Therapist

Dunn Loring, VA

$1.6K - $2.1K/wk

August Healthcare at IliffPhysical Therapist (PT) Full-Time | Part-Time | PRN $10,000 Sign-On Bonus ... Participate in interdisciplinary team meetings, care conferences, and utilization reviews * Educate ...

QRM Health

Physical Therapist

Annandale, VA · On-site

$1.6K - $2.1K/wk

August Healthcare at LeewoodPhysical Therapist (PT) Full-Time | Part-Time | PRN $10,000 Sign-On ... Participate in interdisciplinary team meetings, care conferences, and utilization reviews * Educate ...

Encompass Health

Case Manager II

Aldie, VA

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager II

Aldie, VA · On-site

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager II

Bristol, VA · On-site

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager

Charlottesville, VA · On-site

$35/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager

Charlottesville, VA

$35/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager

Fredericksburg, VA

$19.75 - $25.25/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health Corporation

Case Manager

Fredericksburg, VA · On-site

$19.75 - $25.50/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager

Bristol, VA

$19.50 - $25/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Encompass Health

Case Manager

Fredericksburg, VA

$19.75 - $25.25/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

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All JobsPt Utilization Review JobsPt Utilization Review Jobs in Virginia

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

QRM Health

Dunn Loring, VA

$1.6K - $2.1K/wk

Full-time, Part-time, Per diem

Re-posted 13 days ago

Job description

August Healthcare at IliffPhysical Therapist (PT)

Full-Time | Part-Time | PRN

$10,000 Sign-On Bonus for Full-Time

August Healthcare at Iliff is seeking a motivated and patient-focused Physical Therapist (PT) to join our rehabilitation team. In this role, you will evaluate residents, develop individualized treatment plans, and provide skilled therapy services that promote mobility, independence, and quality of life. You will collaborate with an interdisciplinary team to ensure high-quality, patient-centered care while maintaining compliance with regulatory and reimbursement standards.

This position is ideal for a licensed Physical Therapist who values teamwork, clinical excellence, and positive resident outcomes.

Responsibilities
  • Evaluate residents and develop individualized treatment plans based on physician orders and clinical findings
  • Provide skilled physical therapy services to improve mobility, strength, balance, endurance, and functional independence
  • Reassess resident progress and modify treatment plans as appropriate
  • Complete accurate and timely documentation, including evaluations, daily treatment notes, progress reports, and discharge summaries
  • Maintain productivity standards established by the department
  • Communicate resident progress, concerns, and recommendations with physicians, nursing staff, families, and the interdisciplinary care team
  • Supervise and collaborate with Physical Therapist Assistants (PTAs) and rehabilitation support staff as appropriate
  • Participate in interdisciplinary team meetings, care conferences, and utilization reviews
  • Educate residents, families, and caregivers on treatment plans, home exercise programs, and safety recommendations
  • Assist with maintaining the cleanliness and organization of therapy areas and equipment
  • Report equipment issues to the appropriate personnel
  • Participate in facility performance improvement initiatives
  • Travel or float between facilities as assigned based on resident needs
  • Maintain compliance with Medicare, reimbursement, and regulatory guidelines
Qualifications
  • Graduate of an accredited Physical Therapy program
  • Current state licensure or registration as a Physical Therapist
  • Knowledge of Medicare and reimbursement regulations
  • Strong clinical, communication, and documentation skills
  • Ability to work collaboratively within an interdisciplinary team
  • Dependable, organized, and patient-focused
Physical Requirements
  • Ability to stand, walk, bend, lift, and assist residents throughout the shift
  • Ability to lift up to 50 pounds
  • Exposure to clinical environments and patient care settings
  • Ability to manage the physical and emotional demands of patient care
Why Join August Healthcare at Iliff?
  • Clinical role with a direct impact on resident function and independence
  • Collaborative rehabilitation and interdisciplinary care environment
  • Opportunities for professional growth within rehabilitation services
  • Purpose-driven work in a skilled nursing setting

Apply today to help residents regain mobility, maximize independence, and improve their quality of life through compassionate, evidence-based physical therapy.