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Remote Occupational Therapy Utilization Review Jobs in Riverside, CA

Two Chairs

Remote Therapist

Riverside, CA · Remote

$85/hr

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

Two Chairs

Remote Therapist

Irvine, CA · Remote

$85/hr

Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT ... Application Review: We'll promptly review your application to ensure you meet the minimum ...

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Remote Occupational Therapy Utilization Review information

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$24

$47

$69

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

As of Jun 16, 2026, the average hourly pay for remote occupational therapy utilization review in Riverside, CA is $47.34, according to ZipRecruiter salary data. Most workers in this role earn between $40.38 and $53.17 per hour, depending on experience, location, and employer.

What is a Remote Occupational Therapy Utilization Review job?

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 are some common daily tasks and responsibilities for someone in a Remote Occupational Therapy Utilization Review position?

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 the Remote Occupational Therapy Utilization Review position, and why are they important?

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 popular job titles related to Remote Occupational Therapy Utilization Review jobs in Riverside, CA? For Remote Occupational Therapy Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Occupational Therapy Utilization Review jobs in Riverside, CA look for? The top searched job categories for Remote Occupational Therapy Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Occupational Therapy Utilization Review jobs? Cities near Riverside, CA with the most Remote Occupational Therapy Utilization Review job openings:
Remote Occupational Therapy Utilization Review jobs near you
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% R...

Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% R...

eviCore healthcare

Riverside, CA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
Participates in strategic planning for and evaluation of the Care Management
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
Must have a minimum of 5 years clinical experience, beyond residency/fellowship
Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required
No nights, no weekends, not call.
Predictable work schedule
Full and part time opportunities
Salaried position with benefits
Supportive organization with collaborative culture
eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:
Flexible scheduling and work/life balance with remote and work from home opportunities
4 weeks of PTO(starting) per year plus paid holidays
One week of CME
Education assistance, tuition reimbursement and professional certifications
Health, dental, vision, and life benefits with employer funded HSA
Paid Volunteer Community Service Days
Ample opportunities for growth, advancement, and promotion
401k retirement plan with company match of 50% employee contributions up to 6%
eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

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