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Pt Utilization Review Jobs in Wisconsin (NOW HIRING)

Physical Therapist (PT) - PRN $45-$50/hour Marietta, SC About Us River Falls Post Acute , located ... Participate in care conferences, utilization review meetings, rehabilitation meetings, and ...

Travel Physical Therapist

Milwaukee, WI · On-site

$1.8K - $2.2K/wk

Physical Therapist (PT) Internal Travel Team Are you a Physical Therapist (PT) with a desire to ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

Travel Physical Therapist

Mequon, WI · On-site

$1.6K - $2.0K/wk

Overview Are you a Physical Therapist (PT) with a desire to impact the lives of the older adult ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

Travel Physical Therapist

Mequon, WI · On-site

$1.7K - $2.0K/wk

Overview Are you a Physical Therapist (PT) with a desire to impact the lives of the older adult ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

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?

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 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 Wisconsin?

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

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

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

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

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

Infographic showing various Pt Utilization Review job openings in Wisconsin as of August 2026, with employment types broken down into 60% Full Time, and 40% Part Time. Highlights an 100% In-person job distribution.

Physical Therapist (PT), PRN

Pacs

River Falls, WI • On-site

$50/hr

Part-time

Re-posted 6 days ago


Job description

Physical Therapist (PT) - PRN

$45-$50/hour
Marietta, SC

About Us

River Falls Post Acute, located in Marietta, South Carolina, may be small at just 44 beds, but our benefits pack a BIG punch. Nestled in a beautiful mountain setting near Travelers Rest, we offer a low-key, fun work environment where employees are valued, appreciated, and supported. Our close-knit team is dedicated to providing exceptional care while helping residents achieve their highest level of independence and quality of life.

If you're looking for flexibility, reliable hours, and the opportunity to make a meaningful impact, we'd love to meet you.

Why Join Us?
  • Competitive pay: $45-$50/hr
  • Flexible PRN scheduling
  • Reliable hours available
  • PRN opportunities within the largest post-acute care network in South Carolina
  • Supportive leadership team and collaborative therapy department
Position Summary

We are seeking a compassionate and skilled Physical Therapist (PT) to join our rehabilitation team on a PRN basis. In this role, you will evaluate and treat residents, develop individualized treatment plans, collaborate with the interdisciplinary care team, and help residents achieve their highest level of mobility, function, and independence.

Key Responsibilities
  • Evaluate residents within 24 hours, or one business day, of physician referral whenever possible
  • Develop individualized treatment plans and obtain physician approval as required
  • Provide physical therapy treatments in accordance with physician orders and established goals
  • Monitor resident progress and modify treatment plans as appropriate
  • Assist the nursing department with training Restorative Aides
  • Supervise Physical Therapist Assistants (PTAs), therapy aides, and students in accordance with state practice regulations
  • Communicate effectively with physicians, nursing staff, residents, families, and interdisciplinary team members
  • Participate in care conferences, utilization review meetings, rehabilitation meetings, and discharge planning activities
  • Complete evaluations, treatment notes, progress notes, recertifications, and other required documentation accurately and timely
  • Educate residents, families, and caregivers on therapy goals, home exercise programs, safety techniques, and discharge recommendations
  • Recommend and facilitate acquisition of durable medical equipment such as walkers, canes, braces, grab bars, and elevated toilet seats
  • Report equipment concerns and assist in maintaining a safe therapy environment
  • Conduct in-service education and training programs for facility staff as needed
Supervisory Responsibilities
  • Supervise Physical Therapist Assistants (PTAs), therapy aides, and students in accordance with state regulations and facility policies
QualificationsEducation & Experience
  • Bachelor's degree in Physical Therapy required
  • Master's or Doctorate degree in Physical Therapy preferred
  • Experience in skilled nursing, rehabilitation, or long-term care preferred
  • Experience with PointClickCare (PCC) and Casamba preferred
  • Strong clinical, communication, and documentation skills
Licenses & Certifications
  • Current South Carolina Physical Therapist license in good standing
  • Must maintain all required continuing education requirements
  • Must remain in good standing with the applicable State Board
What Makes You a Great Fit
  • Passion for helping residents regain mobility and independence
  • Strong clinical judgment and problem-solving skills
  • Excellent communication and interpersonal abilities
  • Dependable and flexible
  • Team-oriented and resident-focused
  • Commitment to delivering exceptional therapy outcomes

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.


PACS logo

About PACS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Farmington, UT, US

Year founded

2013