Ripon, WI · Remote
$40 - $48/hr
Provide direct occupational therapy services * Complete comprehensive case reports * Exercise ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
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Ripon, WI · Remote
$40 - $48/hr
Provide direct occupational therapy services * Complete comprehensive case reports * Exercise ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
South Milwaukee, WI · Remote
$69.41 - $103.25/hr
Job Summary and Responsibilities This is a remote position suporting the Central Area Region ... utilization review; Applies strategies within daily operations to identify trends and address gaps ...
South Milwaukee, WI · Remote
$69.41 - $103.25/hr
Job Summary and Responsibilities This is a remote position suporting the Central Area Region ... utilization review; Applies strategies within daily operations to identify trends and address gaps ...
Madison, WI · On-site +1
Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...
Madison, WI · On-site +1
Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...
Madison, WI · On-site +1
Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...
Madison, WI · On-site +1
Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...
Middleton, WI · On-site +1
$45K - $59K/yr
... Utilization Review (RUR) department. The CPAC is a regionally consolidated business line ... progression for the occupation in the organization. Examples of specialized experience would ...
Middleton, WI · On-site +1
$45K - $59K/yr
... Utilization Review (RUR) department. The CPAC is a regionally consolidated business line ... progression for the occupation in the organization. Examples of specialized experience would ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Ability to read, review and understand support resources provided by the contact center and its ... Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ...
Ability to read, review and understand support resources provided by the contact center and its ... Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ...
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Ripon, WI · On-site +1
$46 - $49/hr
... and therapy materials, continuing education, and networking opportunities to help them succeed ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
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Ripon, WI · On-site +1
$46 - $49/hr
... and therapy materials, continuing education, and networking opportunities to help them succeed ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Tomah, WI · On-site +1
$81K - $154K/yr
Collaborating closely with physical therapy, occupational therapy, providers, and other ... Utilization of safe patient handling and mobility protocols Education IMPORTANT: A transcript must ...
Tomah, WI · On-site +1
$81K - $154K/yr
Collaborating closely with physical therapy, occupational therapy, providers, and other ... Utilization of safe patient handling and mobility protocols Education IMPORTANT: A transcript must ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
Oconomowoc, WI · On-site +1
Must hold full licensure in the state of WI The MHAR Virtual Therapist role is a 100% fully remote ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
Oconomowoc, WI · On-site +1
Must hold full licensure in the state of WI The MHAR Virtual Therapist role is a 100% fully remote ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
The Therapist 2 - Virtual is a virtual, 100% fully remote position. The Therapist develops ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
The Therapist 2 - Virtual is a virtual, 100% fully remote position. The Therapist develops ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
Oconomowoc, WI · On-site +1
The Therapist 2 - Virtual is a virtual, 100% fully remote position. The Therapist develops ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
Oconomowoc, WI · On-site +1
The Therapist 2 - Virtual is a virtual, 100% fully remote position. The Therapist develops ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
Must hold full licensure in the state of WI The MHAR Virtual Therapist role is a 100% fully remote ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
Must hold full licensure in the state of WI The MHAR Virtual Therapist role is a 100% fully remote ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
... fully remote position. The Therapist develops, coordinates, and facilitates all direct social ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
... fully remote position. The Therapist develops, coordinates, and facilitates all direct social ... progress review. Communicate professionally and accurately. * Refer to and work with other ...
$23.54 - $27.55
2% of jobs
$27.55 - $31.56
3% of jobs
$31.56 - $35.58
8% of jobs
$39.18 is the 25th percentile. Wages below this are outliers.
$35.58 - $39.59
13% of jobs
$39.59 - $43.61
18% of jobs
The median wage is $44.83 / hr.
$43.61 - $47.62
19% of jobs
$50.63 is the 75th percentile. Wages above this are outliers.
$47.62 - $51.64
16% of jobs
$51.64 - $55.65
11% of jobs
$55.65 - $59.67
5% of jobs
$59.67 - $63.68
3% of jobs
$63.68 - $67.69
2% of jobs
$23
$45
$67
A Remote Occupational Therapy Utilization Review job involves evaluating occupational therapy treatment plans and medical records to ensure they meet insurance guidelines and medical necessity. Professionals in this role work remotely to review documentation, provide recommendations, and collaborate with healthcare providers and insurance companies. Their main goal is to ensure appropriate care while preventing unnecessary costs. Strong analytical skills and knowledge of occupational therapy practices and insurance regulations are essential for this role.
Professionals in Remote Occupational Therapy Utilization Review primarily review clinical documentation to determine the medical necessity and appropriateness of occupational therapy services. Typical daily tasks include analyzing therapy notes, applying payer criteria to case reviews, communicating with providers for clarifications, and documenting decisions within electronic systems. You may also participate in team meetings, provide feedback to therapy staff, and stay updated on changing regulations or insurance policies. This role requires a balance of independent work and frequent collaboration with other utilization reviewers, case managers, and healthcare providers to ensure the highest quality of care and compliance.
To thrive as a Remote Occupational Therapy Utilization Review professional, you need a background in occupational therapy, solid clinical assessment skills, and familiarity with medical necessity criteria such as Medicare or insurance guidelines. Experience using electronic medical record (EMR) systems, utilization review software, and knowledge of relevant certifications like OTR/L or CHT are typically required. Attention to detail, critical thinking, and strong written communication skills are highly valued in this role. These abilities are crucial to making accurate determinations, maintaining compliance, and effectively collaborating with healthcare teams and insurers from a remote setting.
$40 - $48/hr
Full-time
Re-posted 28 days ago
What youll do
Provide direct occupational therapy services
Complete comprehensive case reports
Exercise strong communication and relationship-building skills to collaborate with onsite school personnel and build rapport with students
Participate as a direct member of IEP teams and create IEP goals
About you
Active OT license in one or more states
An active NBCOT certification
Minimum of 1 year of experience working in a school setting, excluding the internship year
Schedule flexibility and interest in working across time zones
Working knowledge of technology, such as headphones and personal computers
Owns a reliable personal computer
About Presence
As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform, assessment and therapy materials, continuing education, and networking opportunities to help them succeed. Through ongoing, clinically-led career resources and support, were meeting the needs and creating career options for clinicians todaywherever they are.
Lets talk perks and benefits
Flexible, remote scheduling
No-cost continuing education courses and clinical workshops tailored to your professional development
Access to the award-winning Presence platform, featuring assessments and curated session materials from top publishers like Highlights, SPARK Innovations and more
Access to online occupational therapy assessments, including online versions of the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI), Motor-Free Visual Perception Test Fourth Edition (MVPT-4), Sensory Profile 2, and more
Designated clinical guidance
Cross-licensing support
Just so you know
