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Pt Utilization Review Jobs (NOW HIRING)

Physical Therapist

Wilson, NC · On-site

$1.4K - $1.8K/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 ...

Physical Therapist

Wilson, NC · On-site

$1.4K - $1.8K/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 ...

Physical Therapist

Durham, NC · On-site

$1.5K - $1.9K/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 ...

Physical Therapist (PT) - Full-Time Garden City Health Care Center Location: Modesto, CA Pay Range ... Participate in patient care conferences, utilization review, and rehab meetings as needed

Physical Therapist (PT), PRN

River Falls, WI

$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 (PT) - Full-Time Garden City Health Care Center Location: Modesto, CA Pay Range ... Participate in patient care conferences, utilization review, and rehab meetings as needed

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Pt Utilization Review information

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$42

$68

How much do pt utilization review jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for pt utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

Will PT be replaced by AI?

Physical Therapy (PT) utilization review involves assessing patient care plans and insurance claims, a role that requires clinical judgment and understanding of individual patient needs. While AI can assist with data analysis and administrative tasks, it is unlikely to fully replace PT professionals, as human expertise is essential for accurate assessments and personalized care. PT roles will likely evolve to incorporate AI tools to improve efficiency rather than be replaced entirely.

What are the typical challenges faced by Physical Therapy 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 are Pt Utilization Review jobs?

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 Physical Therapy Utilization Review (PT Utilization Review) Specialist, and why are they important?

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.

How to get a utilization review job?

To get a utilization review job, candidates typically need a healthcare-related degree such as nursing, health administration, or a related field, along with relevant experience in medical coding, billing, or clinical review. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or a nursing license can improve job prospects. Strong analytical skills, knowledge of insurance policies, and familiarity with electronic health records are also important for success in this role.

How to become a utilization review physical therapist?

To become a utilization review physical therapist, you need to earn a Doctor of Physical Therapy (DPT) degree, obtain licensure in your state, and gain experience as a licensed physical therapist. Additional certification in utilization review or case management, such as the Certified Case Manager (CCM) credential, can enhance job prospects in this specialized role.
More about Pt Utilization Review jobs
What cities are hiring for Pt Utilization Review jobs? Cities with the most Pt Utilization Review job openings:
What states have the most Pt Utilization Review jobs? States with the most job openings for Pt Utilization Review jobs include:
Infographic showing various Pt Utilization Review job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Physical Therapist

Harmony Park at Wilson

Wilson, NC • On-site

$1.4K - $1.8K/wk

Other

Posted 2 days ago


Job description

Physical Therapist (PT)

Full-Time | Part-Time | PRN

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