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Remote Utilization Review Physical Therapist Jobs

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Netsmart

Utilization Review Nurse (PRN)

Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

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How much do remote utilization review physical therapist jobs pay per week?

As of Aug 16, 2026, the average weekly pay for remote utilization review physical therapist in the United States is $1,859.52, according to ZipRecruiter salary data. Most workers in this role earn between $1,596.15 and $2,067.31 per week, depending on experience, location, and employer.

What is a remote utilization review physical therapist?

A Remote Utilization Review Physical Therapist evaluates medical records to determine the medical necessity and appropriateness of physical therapy services. They work for insurance companies, healthcare organizations, or third-party review agencies to ensure compliance with guidelines and best practices. This role involves analyzing treatment plans, reviewing documentation, and providing recommendations based on clinical expertise. It is a non-clinical position that requires strong analytical skills and knowledge of insurance policies. The job is fully remote, allowing therapists to work from home while still utilizing their clinical experience to impact patient care decisions.

What are some typical challenges faced by remote utilization review physical therapists?

Remote Utilization Review Physical Therapists often encounter challenges such as interpreting complex medical documentation without direct patient interaction and staying current with frequent changes in payer policies. Balancing productivity requirements with thorough case analysis can also be demanding. Additionally, working remotely may require strong time-management skills and reliable communication with interdisciplinary team members to ensure care recommendations are consistent and well-coordinated. Embracing these challenges can help clinicians develop specialized expertise and advance toward supervisory or specialist positions within utilization management.

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

To thrive as a Remote Utilization Review Physical Therapist, you need a valid physical therapy license, in-depth clinical knowledge, and experience in patient care management and rehabilitation. Familiarity with electronic medical record (EMR) systems, utilization review software, and knowledge of insurance regulations is often required. Strong analytical thinking, decision-making, written communication skills, and attention to detail are essential soft skills. These skills ensure that patient cases are reviewed efficiently and accurately while maintaining compliance with payer guidelines and supporting optimal patient outcomes.

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Remote Utilization Review Physical Therapist jobs near you
Infographic showing various Remote Utilization Review Physical Therapist job openings in the United States as of August 2026, with employment types broken down into 3% Internship, 82% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $96,695 per year, or $46.5 per hour.

RN Utilization Review Behavioral Health

Allmed Staffing Inc

Nevada Mass, NV • Remote

$42/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 2 days ago

New

Job description

RN Utilization Review Behavioral Health

Work Location: Telecommute (Remote) Work Hours: 8:00 AM–5:00 PM PST Pay Rate: $42.00/hour License Preference: Nevada (NV) license preferred Professional Certification Required: Yes Minimum Education Requirement: Master's degree TRICARE-Related Work: No

About the Role

We are seeking a Utilization Review Clinician to review outpatient Applied Behavior Analysis (ABA) requests for medical necessity. This role evaluates provider-submitted treatment plans, progress reports, and assessments against established clinical criteria to support appropriate, timely determinations for behavioral health services.

Key Responsibilities

  • Review outpatient ABA requests for medical necessity using established clinical criteria (e.g., MCG, InterQual, ASAM, plan-specific guidelines)
  • Evaluate treatment plans, progress reports, and assessments submitted by providers
  • Collaborate with providers to clarify documentation and ensure appropriate level of care
  • Make determinations or recommendations for approval, modification, or denial of services
  • Document clinical decisions and rationale in the utilization management system

Required Qualifications

  • BCBA or LBA, RN, or Master's degree in social work or a related behavioral health field (LCSW, LPC, MFT, etc.)
  • Active, unrestricted behavioral health license in the State of Nevada
  • 2+ years of behavioral health clinical experience, including ABA
  • Familiarity with Medicaid and Commercial benefit structures and utilization management protocols
  • Ability to work independently and within a team in a remote or office-based environment
  • Proficient in using clinical systems, Microsoft Office applications, and electronic documentation platforms
  • Proven ability to multi-task in a high-volume, deadline-driven setting

Company Description

Allmed is a National Staffing and Recruiting company offering short and long term staffing solutions.
We have been serving large Fortune 100 companies and providing career opportunities to job seekers for over 25 years. We specialize within the medical and healthcare industries offering temporary and permanent placement options. Our team takes the time to recognize, assess and listen to the goals of both our clients and employees. Our team is dedicated to providing the highest quality services and best qualified medical professionals throughout the United States. We stand by our promise and guarantee success and satisfaction between our clients and employees.