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Remote Physical Therapy Utilization Review Jobs in Virginia

LPN Case Manager

Richmond, VA ยท Remote

$75K/yr

... therapy, social services, dietary) * Coordinate and communicate with insurance companies and ... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ...

... engagement reviews and quality assurance procedures. - Minimize risk exposure on projects ... training, physical therapy, exercise science, kinesiology, nutrition, human performance, or a ...

Software Engineer, Medicaid

Arlington, VA ยท On-site +1

$100K - $120K/yr

Our entire team is remote across the United States, from the West Coast to the East Coast. There ... Contribute to the next version of the program's drug utilization review tools * Help lead the team ...

Review and validate pricing assumptions, indirect cost applications, and proposal budgets ... Remote Physical Requirements: This is largely a sedentary position that requires the ability to ...

Physician Advisor (Remote)

Manassas, VA ยท Remote

$250K - $350K/yr

... across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case ... Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including ...

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Remote Physical Therapy Utilization Review information

What is a remote physical therapy utilization review?

A Remote Physical Therapy Utilization Review job involves evaluating physical therapy treatment plans and medical records to ensure they meet insurance guidelines and medical necessity. Professionals in this role work remotely to review claims, provide recommendations, and collaborate with healthcare providers and insurance companies. The goal is to ensure appropriate care while preventing unnecessary treatments or costs. This position typically requires a background in physical therapy, strong analytical skills, and knowledge of insurance policies and medical guidelines.

What does a typical day look like for someone in a remote physical therapy utilization review role?

A typical day involves reviewing physical therapy documentation and treatment plans submitted by providers to determine if they meet established medical necessity criteria. You may spend most of your workday analyzing patient records, applying evidence-based guidelines, documenting your recommendations, and collaborating virtually with providers, insurance representatives, and your clinical review team. Frequent video meetings and written communications are common as you clarify treatment justifications or support appeals. The role is fast-paced and detail-oriented, requiring strong organizational skills to manage multiple case files and deadlines efficiently. While remote, you remain an integral part of a clinical decision-making team, contributing directly to patient care quality and cost-effective service delivery.

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

To excel as a Remote Physical Therapy Utilization Review professional, you need a background in physical therapy (often with licensure), clinical knowledge, and experience in utilization management or case review. Familiarity with electronic health records (EHR), claims management systems, and industry tools such as InterQual or Milliman criteria is typically required. Strong analytical skills, attention to detail, effective written communication, and the ability to work independently are valuable soft skills for this position. These abilities are crucial for accurately evaluating medical necessity, facilitating reimbursement, and ensuring compliance with healthcare guidelines in a remote setting.

What job categories do people searching Remote Physical Therapy Utilization Review jobs in Virginia look for?

The top searched job categories for Remote Physical Therapy Utilization Review jobs in Virginia are:

What cities in Virginia are hiring for Remote Physical Therapy Utilization Review jobs?

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

Infographic showing various Remote Physical Therapy Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 100% Remote job distribution.

Physical Therapist Supervisor: On-site/Hybrid Role

Link Rehab and Wellness

Petersburg, VA โ€ข On-site, Remote

$50 - $64/hr

Part-time

Re-posted 15 days ago


Job description

For seniors undergoing therapy, each tiny step forward and every regained ability is a triumph, signaling their steady progress toward reclaiming the lifestyle they hold dear. Whether in facilities or homes, our approach is centered on meeting people where they are and providing personalized care that helps them along their journey.

Led by therapists and driven to improve patient outcomes, our team is fueled by compassion and the autonomy to impact the lives of our patients. Our leadership speaks the same language as our team, fostering a supportive and cohesive environment. If you are interested in exploring home or facility opportunities with a team that provides support, mentorship, and simple documentation, then we want to hear from you.

Location: This position can be hybrid or fully onsite. Looking for a combination of on-site treatment and can do remote supervision for our PTA in the Petersburg, VA Assisted Living Facility. Must reside in Virginia and have Virginia License.
Physical Therapist Qualifications:
  • Unencumbered state Physical Therapy License
  • Doctorate of Physical Therapy from an accredited Physical Therapy Program
  • Master’s Degree from an accredited Physical Therapy program
  • COVID vaccination mandatory for some locations
Physical Therapist Benefits:
  • Flexible Scheduling
  • Medical, Dental & Vision Insurance (Full-Time)
  • Six Paid Flexible Holidays, Paid Sick Leave & PTO (Full-Time)
  • 401k
  • Reporting to one facility location and/or close to home caseloads

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.