Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
West Palm Beach, FL · Remote
$23 - $31.50/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
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West Palm Beach, FL · Remote
$23 - $31.50/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
These responsibilities may include utilization review, pharmacy oversight and care coordination. This position is remote in Florida or Georgia. Responsibilities * Uses clinical/nursing skills to ...
These responsibilities may include utilization review, pharmacy oversight and care coordination. This position is remote in Florida or Georgia. Responsibilities * Uses clinical/nursing skills to ...
These responsibilities may include utilization review, pharmacy oversight and care coordination. This position is remote in Florida or Georgia. * Uses clinical/nursing skills to determine whether all ...
These responsibilities may include utilization review, pharmacy oversight and care coordination. This position is remote in Florida or Georgia. * Uses clinical/nursing skills to determine whether all ...
Lake Worth, FL · On-site +1
$16.50 - $22.25/hr
... utilization review, and insurance verification for substance abuse and mental health treatment ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...
Lake Worth, FL · On-site +1
$16.50 - $22.25/hr
... utilization review, and insurance verification for substance abuse and mental health treatment ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...
... appeals, utilization review, or medical necessity denials. * 2+ years in a leadership or ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
... appeals, utilization review, or medical necessity denials. * 2+ years in a leadership or ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Deerfield Beach, FL · On-site +1
$16.50 - $19.50/hr
Since everyone has different experiences with mental health disorders, mental health therapies must ... Additionally, the position supports the Utilization Review team by preparing and tracking written ...
Deerfield Beach, FL · On-site +1
$16.50 - $19.50/hr
Since everyone has different experiences with mental health disorders, mental health therapies must ... Additionally, the position supports the Utilization Review team by preparing and tracking written ...
Fort Lauderdale, FL · Remote
$26.41 - $51.49/hr
... to utilization management (UM) policies and procedures. • May work collaboratively with ... therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related ...
Fort Lauderdale, FL · Remote
$26.41 - $51.49/hr
... to utilization management (UM) policies and procedures. • May work collaboratively with ... therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related ...
Hollywood, FL · Remote
$30K - $45K/yr
ABA Therapy Scheduler (Remote Position) Salary: $30,000-$45,000 base + commission opportunities ... All applications will be reviewed equally and fairly. Applicants who call the company phone line ...
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Hollywood, FL · Remote
$30K - $45K/yr
ABA Therapy Scheduler (Remote Position) Salary: $30,000-$45,000 base + commission opportunities ... All applications will be reviewed equally and fairly. Applicants who call the company phone line ...
Hollywood, FL · Remote
$45K - $60K/yr
Operations Manager Location: 100% Remote Reports To: CEO Compensation: $45,000-60,000/year + health ... Ensure optimal staff utilization while maintaining high satisfaction for both clients and team ...
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Hollywood, FL · Remote
$45K - $60K/yr
Operations Manager Location: 100% Remote Reports To: CEO Compensation: $45,000-60,000/year + health ... Ensure optimal staff utilization while maintaining high satisfaction for both clients and team ...
Hollywood, FL · Remote
$30K - $40K/yr
Fully Remote Are you a high-energy, people-loving recruiter who thrives on connecting amazing ... All applications will be reviewed equally and fairly. Applicants who call the company phone line ...
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Hollywood, FL · Remote
$30K - $40K/yr
Fully Remote Are you a high-energy, people-loving recruiter who thrives on connecting amazing ... All applications will be reviewed equally and fairly. Applicants who call the company phone line ...
Hollywood, FL · Remote
$20 - $28/hr
Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed * Manage prior ... therapy services * Handle Single Case Agreements (SCAs) and negotiate terms with insurance ...
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Hollywood, FL · Remote
$20 - $28/hr
Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed * Manage prior ... therapy services * Handle Single Case Agreements (SCAs) and negotiate terms with insurance ...
Hollywood, FL · Remote
$90K - $135K/yr
Fully Remote - Preferably living in Florida (with travel to service areas as needed) Compensation ... Manage staffing and scheduling to maximize consistency and utilization * Support and collaborate on ...
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Hollywood, FL · Remote
$90K - $135K/yr
Fully Remote - Preferably living in Florida (with travel to service areas as needed) Compensation ... Manage staffing and scheduling to maximize consistency and utilization * Support and collaborate on ...
West Palm Beach, FL · Remote
$150 - $200/hr
Coordinate with therapists, care navigators, and primary care where indicated * Document within our ... review * Escalate acute safety concerns per protocol, with 24/7 crisis-team backup Practice ...
New
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West Palm Beach, FL · Remote
$150 - $200/hr
Coordinate with therapists, care navigators, and primary care where indicated * Document within our ... review * Escalate acute safety concerns per protocol, with 24/7 crisis-team backup Practice ...
New
Fort Lauderdale, FL · Remote
$150 - $200/hr
Coordinate with therapists, care navigators, and primary care where indicated * Document within our ... review * Escalate acute safety concerns per protocol, with 24/7 crisis-team backup Practice ...
New
Quick apply
Fort Lauderdale, FL · Remote
$150 - $200/hr
Coordinate with therapists, care navigators, and primary care where indicated * Document within our ... review * Escalate acute safety concerns per protocol, with 24/7 crisis-team backup Practice ...
New
Pembroke Park, FL · Remote
$20 - $25/hr
Ability to work independently in a fully remote environment. * Fluency in Spanish and English ... Structured tier system with regular salary reviews. * Bonus Opportunities: Monthly and quarterly ...
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Pembroke Park, FL · Remote
$20 - $25/hr
Ability to work independently in a fully remote environment. * Fluency in Spanish and English ... Structured tier system with regular salary reviews. * Bonus Opportunities: Monthly and quarterly ...
Miami Gardens, FL · Remote
$115K - $120K/yr
Remote LCSW Therapist | Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
New
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Miami Gardens, FL · Remote
$115K - $120K/yr
Remote LCSW Therapist | Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
New
Miami Gardens, FL · Remote
$115K - $120K/yr
Remote LCSW Therapist | Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
New
Miami Gardens, FL · Remote
$115K - $120K/yr
Remote LCSW Therapist | Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
New
Miami Gardens, FL · On-site +1
$115K - $120K/yr
Remote LCSW Therapist Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
Miami Gardens, FL · On-site +1
$115K - $120K/yr
Remote LCSW Therapist Florida-Based Telehealth Counseling Position Position Information Location ... Review treatment goals regularly and revise plans when needed * Maintain professional standards for ...
$22.13 - $25.90
2% of jobs
$25.90 - $29.68
3% of jobs
$29.68 - $33.45
8% of jobs
$36.83 is the 25th percentile. Wages below this are outliers.
$33.45 - $37.22
13% of jobs
$37.22 - $41
18% of jobs
The median wage is $42.15 / hr.
$41 - $44.77
19% of jobs
$47.60 is the 75th percentile. Wages above this are outliers.
$44.77 - $48.55
16% of jobs
$48.55 - $52.32
11% of jobs
$52.32 - $56.10
5% of jobs
$56.10 - $59.87
3% of jobs
$59.87 - $63.64
2% of jobs
$22
$43
$63
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.
The most popular types of Occupational Therapy Utilization Review jobs in Boca Raton, FL are:
For Remote Occupational Therapy Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:
The top searched job categories for Remote Occupational Therapy Utilization Review jobs in Boca Raton, FL are:
Cities near Boca Raton, FL with the most Remote Occupational Therapy Utilization Review job openings:

Miami, FL • On-site, Remote
$204K - $292K/yr
Full-time
Posted 24 days ago
8.4
Based on 40 frontline employees who took The Breakroom Quiz
1st of 242 rated social care providers
Sourced by ZipRecruiter
We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.
Health care and social assistance
5,001 - 10,000 Employees
Miami, FL, US
1985