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Remote Occupational Therapy Utilization Review Jobs in Wisconsin

Cayenta

... 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 ...

Cayenta

... 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 ...

ChenMed

... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...

ChenMed

$114K - $144K/yr

... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...

WPS

Senior IT Security Analyst

Madison, WI · On-site +1

$90K - $115K/yr

... utilization. * Have developed security awareness training programs to educate employees on ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...

ChenMed

... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...

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Remote Occupational Therapy Utilization Review information

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How much do remote occupational therapy utilization review jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote occupational therapy utilization review in Wisconsin is $45.80, according to ZipRecruiter salary data. Most workers in this role earn between $39.09 and $51.44 per hour, depending on experience, location, and employer.

What is a remote occupational therapy utilization review?

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.

What does a remote occupational therapy utilization review do?

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.

What are the key skills and qualifications needed to thrive in remote occupational therapy utilization review?

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.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Wisconsin?

The most popular types of Occupational Therapy Utilization Review jobs in Wisconsin are:

What are popular job titles related to Remote Occupational Therapy Utilization Review jobs in Wisconsin?

For Remote Occupational Therapy Utilization Review jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Occupational Therapy Utilization Review jobs in Wisconsin look for?

The top searched job categories for Remote Occupational Therapy Utilization Review jobs in Wisconsin are:

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Cities in Wisconsin with the most Remote Occupational Therapy Utilization Review job openings:

Remote Occupational Therapy Utilization Review jobs near you

Telehealth Therapist - Addictions

Oconomowoc, WI • On-site, Remote

Rogers Behavioral Health
Health Care and Social Assistance • 1 - 5K employees

6.0

Company rating: 6.0 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

751st of 893 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Rogers Behavioral Healthexternal

$57K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 23 days ago

Job description

New Employee Retention Bonus
*$4,000.00 retention bonus available! (Fully licensed)
(New Employee is defined as someone who has not been employed with Rogers for more than six months)
Schedule:
Full time - 40 hours/week
Monday - Friday 10:30am to 7:00pm, with some flexibility, as programing runs from 12:00pm to 6:30pm
This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in - (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA, CO). Must hold full licensure in the state of WI
The MHAR Virtual Therapist role is a 100% fully remote position. The Therapist develops, coordinates, and facilitates all direct social services to patients and their families assigned and performs duties as directed by their manager. The Therapist will work in a virtual setting that includes partial hospitalization and intensive outpatient services.
Job Duties & Responsibilities:
Per program description, this job may include duties of cognitive behavioral therapies in addition to social services.
Provide social services to patients and their families/significant others virtually.
  • Provide therapeutic treatment services to the individual, group, family and/or significant others.
    • May provide individual treatment sessions with patients as indicated per the program and patient needs.
    • Provide crisis intervention services as needed and assess for safety daily.
    • Interact with patients, family members, significant others and referents with respect and dignity.
    • Participate in psychoeducational support sessions with patient/family/significant others.
    • Provide case management and therapeutic interventions to all assigned patients.
    • Serve as patient advocate when a patient has a grievance, following the System policy and procedure.
    • Adhere to materials provided to ensure clinical effectiveness and consistency. Manage patient/family expectations related to services provided. Initiate and maintain contact with referring providers, school, if applicable, and care team for patients.
    • Implement goals and interventions as specific on the Care Plan, within the therapeutic component of the patient's program.
    • Ensure goals are SMART (specific, measurable, attainable, relevant, and timely).
    • Ensure goals and interventions are patient specific and individualized according to patient diagnoses.
    • Document progress according to the treatment plan.
    • Troubleshoot technology issues during programming with patient

Complete all documentation within required time.
  • Complete admissions documentation.
    • Social Services Admission Assessment.
    • Suicide Risk Assessment and collaboration with treatment team according to identified guidelines
    • Complete a safety plan (at Provider discretion for patients age 12 and under).
    • Initial treatment goals and interventions on the Care Plan.
    • Obtain necessary consent for release of records to access information that will assist in providing treatment or facilitating discharge, including coordination with referents and other mental health treatment providers.
  • Complete ongoing treatment documentation, as required, according to program guidelines.
    • Write clear, concise, collaborative, and obtainable treatment goals in the Treatment Plan.
    • Document patient's treatment status in medical record daily.
    • Complete therapeutic documentation for group treatments including a description of the group and information about the patient's engagement and participation. Update the Care Plan goals and interventions.
    • Document contact notes for each conversation with outpatient provider, school, or parent.
    • Summarize the patient's progress and decision making from multidisciplinary team meetings in the master treatment plan each time the patient is officially staffed.
    • Communicate the process to the team members
    • Document the necessary information in a thorough, detailed, and timely manner
  • Complete discharge documentation as required and on time.
    • Document the initial discharge plan in the medical record.
    • Document discharge summary. Identify patient's presenting problem, progress, current status and treatment recommendations.
    • Contact outpatient provider(s), school and other stakeholders to discuss aftercare to ensure proper handoff.
  • Report and document suspected cases of physical, sexual abuse and/or neglect according to the law in the state of employment and according to System policy and procedure.
    • Implement understanding of the System policies and procedures.
    • Implement understanding of the Mandatory Reporting in the state of employment.

Provide leadership and guidance in the implementation of clinical interventions.
  • Evaluate the outcome of interdisciplinary interventions and modify the Care Plan accordingly.
  • Assist with the development and evaluation of treatment needs.
  • Participate and/or facilitate interdisciplinary staffing for treatment planning, updating and progress review.

Communicate professionally and accurately.
  • Refer to and work with other departments and agencies as needed and according to RBH policies.
    • Report pertinent data to the attending provider and others on the treatment team, verbally or in writing as necessary, and use discernment in situations requiring immediate attention versus postponement.
    • Communicate immediately difficult problems with referents, patients, family members/significant others and co-workers.
  • Ask for supervision to assist with problem resolution, when appropriate.
  • Attend and participate in all department meetings virtually and provide feedback concerning departmental or clinical issues.

Demonstrate strong interdisciplinary approach, facilitating effective communication among departments.
  • Display a positive attitude and participate as a team member.
  • Communicate in a respectful and assertive manner to treatment team members and other System personnel.
  • Follow through with program philosophy.

Conduct self in a professional manner.
  • Demonstrate organizational skills that promote timely responses.
  • Communicate with all individuals in a positive and professional manner.
  • Identify concerns and provide input for resolution.
  • Use solutions focused mindset in situations, and resolve individual issues with peers in a positive, calm manner.
  • Promote positive team-oriented approach to patient care. Maintain a supportive and collaborative environment with all disciplines.
  • Demonstrate a positive and professional attitude toward parties outside the facility (patients, families, visitors, vendors, etc.)
  • Use courteous, cooperative and respectful behavior when working with patients, families, physicians, visitors, and employees.
  • Display leadership and positive role-modeling.
  • Project a professional image in attire, grooming, and presentation.
  • Display professionalism in all aspects of the position.
  • Arrive on time, prepared for work responsibilities.
  • Adhere to Code of Ethics, Code of Conduct, maintain confidentiality, and abide by professional license code of ethics.

Support changes in staffing/scheduling when program and patient care needs require.
  • Accept reassignment in a positive manner.
  • Demonstrate willingness to adjust work schedule to meet patient and program needs.
  • Recognize need for support, seek appropriate assistance when needed, and offer assistance when needed.
  • Apply good practice principles to job duties.
  • Complete orientation, annual competencies, educational requirements, and required training relevant to the position.
  • Provide appropriate, timely documentation in the patient medical record.
  • Attend and participate in staff meetings, group and individual supervision meetings, and in-services relevant to position.
  • Participate in projects, tasks and opportunities to improve skills and expand competency.
  • Comply with the organization's policies and procedures.
  • Adhere to all established standards of practice.
  • Participate in on-call phone rotation if applicable.
  • Promote Mission and goals of the organization.
  • Perform other duties as assigned.

Participate in site committees remotely.
  • Be punctual and prepared.
  • Demonstrate effective communication skills and good organization skills.
  • Actively participate in discussions, recognize and contribute to activities leading to improvement.

Rogers Operating System (ROS).
  • Gain understanding of the ROS and MDI process.
  • Participate in the ROS program on an ongoing basis.
  • Create and apply ROS projects that lead to improvement.
  • Apply the ROS model to your department's activities.
  • Demonstrate measurable goals and achievement.
  • Participate in daily huddles with team(s) assigned.

Demonstrate understanding of Joint Commission, State, and other regulatory agency compliance regulations.
  • Be knowledgeable in the application of standards relevant to outpatient behavioral health program.
  • Increase knowledge and awareness of regulations and involve self in educating others.

Provide for patient safety.
  • Intervene appropriately to maintain patient safety.
  • Communicate any patient safety concerns to the treatment team and document accordingly.
  • Ensure patients are in appropriate areas and on camera at all times.
  • Report any safety issues immediately.
  • Document safety incidents via the incident reporting portal.
  • Adhere to all System guidelines for safety.
  • Follow emergency protocols.

Additional Job Description:
Education/Training Requirements:
  • Master's Degree in Psychology, Social Work, or related field, from an accredited school of Social Work, Professional Counseling, or Family Therapy with a minimum of two (2) years' experience in health care and at least two (2) years in a psychiatric setting, preferred.
  • Full, independent licensure as a Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW) or equivalent in state practicing, i.e. LPCC, LMHC.
  • Must obtain substance disorder license-in-training license in state practicing within 6 months of employment if working in a co-occurring program (i.e. MHAR)
  • Working knowledge of therapeutic intervention and techniques for all age groups, as well as the dynamics of human growth and behavior.
  • Per program description, this job may include duties of cognitive behavioral therapies in addition to social services.
  • Be responsible for all educational requirements and related obligations pertaining to the license of the program/unit license regulatory requirements governing the program(s).

Clinical Substance Abuse Counselor - Cert, Lic Clinical Professional Counselor - Cert, Licensed Alcohol And Drug Counselor - Cert, Licensed Clinical Social Worker - Cert, Licensed Mental Health Counselor - Cert, Licensed Professional Counselor - Cert, Lic Indpndt Clinical Social Worker - Cert, Lic Marriage and Family Therapist - Cert, Lic Professional Clinical Counselor - Cert, Social Worker - Cert, Substance Abuse Counselor - Cert, Substance Abuse Counselor In Training - Cert
With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:
  • Health, dental, and vision insurance coverage for you and your family
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flex spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)

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