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Remote Physical Therapy Utilization Review Jobs in Raleigh, NC

PerkinElmer

PMO VP, Practice Area Leader

Raleigh, NC · Remote

Job Title PMO VP, Practice Area Leader Location(s) Raleigh, NC, US Remote - AL, US Remote - CA, US ... Lead project reviews, lessons learned, PMO maturity initiatives, and continuous improvement efforts ...

Self Help

Network Administrator

Durham, NC · Remote

Collect/review network utilization reports: Debug network problems. Develop, test, andhelp maintain ... physical disability, mental disability, medical condition, genetic information, marital status, sex ...

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Remote Physical Therapy Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

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

As of Aug 20, 2026, the average hourly pay for remote physical therapy utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

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 are popular job titles related to Remote Physical Therapy Utilization Review jobs in Raleigh, NC?

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

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

The top searched job categories for Remote Physical Therapy Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Physical Therapy Utilization Review jobs?

Cities near Raleigh, NC with the most Remote Physical Therapy Utilization Review job openings:

Remote Physical Therapy Utilization Review jobs near you
Infographic showing various Remote Physical Therapy Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Telehealth - PRN - Pediatric Occupational Therapist

Fox Health

Garner, NC • Remote

$70K - $100K/yr

Full-time

Posted 6 days ago

Job description

We’re currently seeking experienced Pediatric Occupational Therapists to provide services in a child’s natural environment through telehealth. We are hiring for a PRN to start immediately, and we work closely with every therapist to ensure a smooth, confident onboarding experience.
Fox Health was founded on the belief that every team member matters. We prioritize open communication, appreciation, and genuine care—for our patients and our providers. We’re looking for therapists who are collaborative, adaptable, and comfortable speaking up in an ever-evolving healthcare environment.
Role 
This position is for a contract telehealth PRN serving children.
Job Responsibilities
  • Provide high-quality, evidence-based pediatric occupational therapy using accepted best practices
  • Manage a caseload including evaluations, treatment sessions, progress notes, and discharges
  • Develop, implement, and update individualized treatment plans with clear short- and long-term goals
  • Complete timely, accurate daily documentation in accordance with company and payer requirements
  • Communicate consistently and effectively with families and caregivers to support carryover
  • Ensure services and documentation meet state licensure, payer, and company standards
  • Support clinical quality through adherence to best practices and participation in documentation reviews
  • Collaborate with leadership and interdisciplinary teams on outcomes, performance improvement, and workflow planning
  • Participate in team meetings and contribute to a positive, supportive work culture
  • Maintain responsibility for ongoing continuing education and professional development
How we help our therapists
We want our providers to be completely dedicated to their patients without worrying about administrative work; therefore, Fox Health we will handle:
  • Case building
  • Record keeping and communications with families
  • Coordination (scheduling, rescheduling and confirming sessions)
  • Physician approvals and Insurance authorizations
Compensation Structure
Compensation Structure: $10/unit for treatment, $70/evaluation. Rates based on our fee-schedule, and other rates available for less common procedure codes.
If you’re looking for a position where your time is respected, your voice matters, and your growth is supported, we’d love to hear from you! 
Compensation is an estimate for a full-time employee or contractor. Benefits are only available to employees who meet qualifying criteria.

This is a remote position.