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Remote Physical Therapy Utilization Review Assistant Jobs in Florida

MedWatch, LLC

Medical Review Coordinator / LPN

Lake Mary, FL · On-site +1

$23 - $27/hr

... * Assist with projects as directed by the Director of Utilization Review. * Participate in the ... Work Environment / Physical Demands: This position is in a typical office / home office environment ...

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All JobsPhysical Therapy Utilization Review JobsRemote Physical Therapy Utilization Review Assistant JobsRemote Physical Therapy Utilization Review Assistant Jobs in Florida

Remote Physical Therapy Utilization Review Assistant information

What is the difference between Remote Physical Therapy Utilization Review Assistant vs Remote Physical Therapy Case Coordinator?

AspectRemote Physical Therapy Utilization Review AssistantRemote Physical Therapy Case Coordinator
CertificationsTypically requires licensing or certification in physical therapy or related fieldsOften requires similar certifications, with additional case management credentials
Work EnvironmentRemote, administrative support for insurance reviews and authorizationsRemote, managing patient cases and coordinating care plans
Employer & Industry UsageInsurance companies, healthcare providers, utilization review organizationsHealthcare providers, insurance companies, case management firms

The main difference is that the Remote Physical Therapy Utilization Review Assistant focuses on reviewing and authorizing physical therapy services, while the Remote Physical Therapy Case Coordinator manages patient cases and coordinates care. Both roles require similar certifications and are often found in the healthcare and insurance industries, but their daily responsibilities differ.

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The most popular types of Remote Physical Therapy Utilization Review jobs in Florida are:

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For Remote Physical Therapy Utilization Review Assistant jobs in Florida, the most frequently searched job titles are:

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Cities in Florida with the most Remote Physical Therapy Utilization Review Assistant job openings:

Remote Physical Therapy Utilization Review Assistant jobs near you
Infographic showing various Remote Physical Therapy Utilization Review Assistant job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Utilization Review Coordinator

NRG MGMT LLC

Lake Worth, FL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

Remedial Pro is a specialized medical billing company serving substance abuse treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our team is committed to accuracy, professionalism, efficiency, and outstanding client service

JOB DESCRIPTION

The primary goal is to monitor adherence to the facility’s utilization review plan to ensure the effective and efficient use of facility services and monitor the appropriateness of facility  admissions and extended facility stays.

Job Classification: Non Exempt Hourly        Reports To: Senior RCM Director

Supervisory Responsibilities:   None.

JOB DUTIES:

  • Completes Initial, concurrent, peer reviews, and expedited appeals in a timely manner to ensure continuous coverage.
  • responsible for all aspects of the authorization of treatment via insurance and managed care companies.
  • Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.
  • Collaborate with facilities in order to obtain necessary clinical documentation for reviews and ensure appropriate lengths of stay and effective utilization of resources.
  • Represents the company in a positive manner per the Professional Standards of Conduct
  • Protects the confidentiality of patients and the privacy of staff
  • provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
  • Uses a computer to type correspondence, reports and other items as requested,
  • Experience in the Mental Health/Addiction space, May be a fully licensed SUDC, CAC,LADC, LCSW, CMHC or RN
  • Additional duties as assigned.

MINIMUM QUALIFICATIONS

  • Bachelor’s or Master’s degree in Behavioral/Mental Health Field (or related experience) preferred
  • A minimum of 3-5 years experience doing utilization review is required preferred
  • Expertise in psychiatric and addiction disorders
  • Experience interacting effectively with co-workers as well as clients.
  • Experience maintaining confidentiality in accordance with HIPAA and company policy requirements.

Required Skills/Abilities:

  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Proficient with Microsoft Office Suite or related software.
PHYSICAL REQUIREMENTS
  • Prolonged periods sitting at a desk and working on a computer.

Remote Position

Benefits:

• Competitive salary

• Health, dental, and vision insurance

• 401(k) with company match

• Paid time off and holidays

• Continuing education and professional development opportunities

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