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Rehabilitation Utilization Review Jobs (NOW HIRING)

RECAP INC

Utilization Review Specialist

Middletown, NY

$27 - $34/hr

The agency operates two New York State OASAS-certified programs: a Part 820 Residential Reintegration Program and a Part 822 Outpatient Rehabilitation Program. As a Utilization Review Specialist, you ...

Integrated Resources

Utilization Review RN

Watertown, NY · On-site

Utilization Review RN Integrated Resources, Inc is a premier staffing firm recognized as one of the ... Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. We are seeking ...

Gateway Rehab

Utilization Review Liaison - REMOTE

Job Type Full-time Description Gateway Rehab Center (GRC) is hiring a full-time Utilization Review Liaison! In this important administrative and clinical support role, you will help ensure patients ...

Hired by Matrix

RN Utilization Review

Portales, NM · On-site

Job Title: RN Utilization Review City: Portales State: NM Job Type: Travel Discipline: RN ... rehab and appointments. * Educates physicians and staff regarding appropriate level of care ...

Lifepoint Health

Specialist, Utilization Review

Holyoke, MA · On-site

$33.22 - $44.85/hr

Our programs offer customized rehabilitation tailored to the specific needs of those recovering ... Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ...

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Rehabilitation Utilization Review information

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How much do rehabilitation utilization review jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for rehabilitation 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.

What is rehabilitation utilization review?

Rehabilitation Utilization Review is a process used in healthcare to evaluate the necessity, efficiency, and appropriateness of rehabilitation services provided to patients. This review ensures that patients receive the right level of care while preventing unnecessary or prolonged treatments. Utilization review professionals analyze patient records, treatment plans, and progress to make recommendations about ongoing or future care. Their work helps to maintain quality standards and manage healthcare costs for providers and insurers.

What are the key skills and qualifications needed to thrive as a rehabilitation utilization review specialist?

To thrive as a Rehabilitation Utilization Review Specialist, you need a strong background in health sciences, clinical review, and case management, typically supported by a degree in nursing or a related field and relevant licensure. Experience with utilization management software, electronic health records (EHRs), and familiarity with regulatory requirements such as Medicare and Medicaid guidelines are crucial. Analytical thinking, attention to detail, and excellent communication skills set top performers apart in this role. These skills ensure accurate assessment of care appropriateness, compliance with regulations, and optimal resource use in rehabilitation settings.

What are some common challenges faced in a rehabilitation utilization review role, and how can they be managed?

Professionals in Rehabilitation Utilization Review often face challenges such as keeping up with evolving insurance regulations, ensuring thorough and timely documentation, and balancing patient advocacy with payer guidelines. Staying organized and up to date with policy changes is crucial, as is clear communication with clinical teams and insurance representatives. Successful reviewers also develop strategies for managing high caseloads and collaborate closely with therapists and case managers to ensure quality care while meeting compliance standards.

What is the difference between Rehabilitation Utilization Review vs Physical Therapist?

AspectRehabilitation Utilization ReviewPhysical Therapist
CredentialsTypically requires licensure and certifications in utilization review or case managementRequires a state license and a degree in physical therapy
Work EnvironmentPrimarily office-based, reviewing cases for insurance companies or healthcare organizationsClinical setting, providing direct patient care in hospitals, clinics, or rehab centers
Employer & IndustryInsurance companies, healthcare organizations, case management firmsHospitals, outpatient clinics, rehab centers

Rehabilitation Utilization Review focuses on evaluating the necessity and appropriateness of rehab services from an administrative perspective, often without direct patient contact. In contrast, Physical Therapists provide hands-on care to patients, developing treatment plans and assisting in recovery. Both roles require specialized credentials but serve different functions within the healthcare system.

What cities are hiring for Rehabilitation Utilization Review jobs?

Cities with the most Rehabilitation Utilization Review job openings:

What states have the most Rehabilitation Utilization Review jobs?

States with the most job openings for Rehabilitation Utilization Review jobs include:

What are popular job titles related to Rehabilitation Utilization Review jobs?

For Rehabilitation Utilization Review jobs, the most frequently searched job titles are:

Rehabilitation Utilization Review jobs near you
Infographic showing various Rehabilitation Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

New York, NY • Remote

Dane Street, LLC
Insurance Actuarial and Claim Adjusting Services • 51 - 200 employees
Learn more about Dane Street, LLCexternal

Contractor

Re-posted 26 days ago

Job description

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Physical Medicine and Rehabilitation provider with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.

Key Responsibilities:

  • Review medical records to determine the medical necessity of services
  • Utilize state-specific workers' compensation guidelines and nationally recognized criteria
  • Submit clear, concise, and well-supported determinations
  • Complete reviews within required timeframes (typically 1-5 business days)
  • Participate in peer-to-peer calls as needed (coordinated by Dane Street)
  • Complete addenda when new information is provided

Role Highlights:

  • Independent contractor (1099) status
  • Average case takes 15 minutes or less
  • Flat rate per case - consistent, supplemental income
  • Fully remote - work from anywhere
  • You control volume and availability
  • No direct patient interaction or treatment
  • Chronological, pre-organized medical records provided
  • User-friendly portal and streamlined case management
  • Full onboarding and ongoing support included

Requirements:

  • Board Certification in Physical Medicine and Rehabilitation
  • Active, unrestricted New York medical license
  • Workers' Compensation Board Certification (New York)
  • Active clinical practice

About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.

Apply today to join our Physician Review Panel and start earning on your schedule.

Apply