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Senior Occupational Therapy Utilization Review Jobs

Occupational Therapist

Edgartown, MA

$47.25 - $62.25/hr

Occupational Therapist (OT) Location : Edgartown, MA Full-Time & Part time Typical hours: Monday ... Monitor therapy utilization to ensure appropriate and effective service delivery. Leadership ...

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Senior Occupational Therapy Utilization Review information

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$51.5K

$74.5K

$111.5K

How much do senior occupational therapy utilization review jobs pay per year?

As of Jul 18, 2026, the average yearly pay for senior occupational therapy utilization review in the United States is $74,494.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $79,500.00 per year, depending on experience, location, and employer.

What is a Senior Occupational Therapy Utilization Review?

A Senior Occupational Therapy Utilization Review professional is responsible for evaluating the medical necessity, appropriateness, and efficiency of occupational therapy services. They review patient records, treatment plans, and clinical documentation to ensure compliance with insurance policies and regulatory standards. This role often involves collaborating with therapists, physicians, and insurance companies to determine the best care options while managing costs. Senior reviewers may also mentor junior staff and contribute to policy development within their organization.

What is the difference between Senior Occupational Therapy Utilization Review vs Occupational Therapist?

AspectSenior Occupational Therapy Utilization ReviewOccupational Therapist
CredentialsLicensed Occupational Therapist, additional experience in utilization reviewLicensed Occupational Therapist
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsHospitals, clinics, outpatient facilities
Job FocusReviewing medical necessity, insurance authorization, and documentationProviding direct patient care, therapy assessments, treatment planning

The main difference is that Senior Occupational Therapy Utilization Review specialists focus on evaluating treatment necessity and insurance compliance, while Occupational Therapists provide direct patient care and therapy services. The review role emphasizes administrative and evaluative tasks, whereas the therapist role involves hands-on therapy delivery.

What are the key skills and qualifications needed to thrive as a Senior Occupational Therapy Utilization Review specialist, and why are they important?

To thrive as a Senior Occupational Therapy Utilization Review specialist, you need advanced clinical knowledge in occupational therapy, experience in case review, and usually a valid OT license with several years of practice. Familiarity with utilization management software, electronic health records (EHRs), and understanding of insurance guidelines are essential. Excellent analytical thinking, attention to detail, and strong communication skills help in assessing cases and collaborating with providers. Mastering these skills ensures accurate, evidence-based reviews that support quality patient care and compliance with payer policies.

How does a Senior Occupational Therapy Utilization Review specialist typically collaborate with clinicians and case managers to ensure appropriate patient care?

As a Senior Occupational Therapy Utilization Review specialist, you will regularly coordinate with clinicians and case managers to evaluate the medical necessity and appropriateness of occupational therapy services for patients. This involves reviewing clinical documentation, discussing complex cases, and providing education to care teams about coverage criteria and best practices. Collaborating effectively ensures that patients receive timely and necessary therapy while also aligning with payer guidelines. Strong communication and negotiation skills are essential for building positive relationships and facilitating high-quality outcomes.
What cities are hiring for Senior Occupational Therapy Utilization Review jobs? Cities with the most Senior Occupational Therapy Utilization Review job openings:
What are the most commonly searched types of Occupational Therapy Utilization Review jobs? The most popular types of Occupational Therapy Utilization Review jobs are:
What states have the most Senior Occupational Therapy Utilization Review jobs? States with the most job openings for Senior Occupational Therapy Utilization Review jobs include:
Senior Occupational Therapist

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Grady Health System rating

8.0

Company rating: 8.0 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

88th of 886 rated healthcare providers


Job description

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

Job Summary

Grady Health System is seeking a Senior Occupational Therapist (OT) to provide advanced, patient-centered occupational therapy services across inpatient and outpatient settings. This role is designed for an experienced clinician who brings strong clinical expertise, leadership capability, and a commitment to improving patient outcomes within a collaborative healthcare environment.

The Senior Occupational Therapist practices within the professional scope defined by the Georgia Occupational Therapy Practice Act, partnering with physicians and interdisciplinary care teams to evaluate patient needs and develop individualized treatment plans that support functional recovery and independence. This role plans, implements, and evaluates occupational therapy interventions to maximize patient functional outcomes and ensure continuity of care across the rehabilitation continuum.

In addition to providing direct patient care, the Senior Occupational Therapist demonstrates advanced clinical competency within a defined specialty area and supports the department through clinical leadership, mentorship, and operational oversight within assigned service areas. This role serves as a key resource for complex clinical decision-making and contributes to maintaining high standards of care within the Occupational Therapy Department at Grady.

The Senior Occupational Therapist is responsible for delivering comprehensive occupational therapy services for patients referred to the department while coordinating with physicians, initiating appropriate referrals, monitoring therapy consults, and ensuring care delivery addresses patients' physical, psychosocial, educational, and safety needs.

Key Responsibilities
  • Provide advanced occupational therapy evaluations and treatment interventions for patients across inpatient and outpatient settings

  • Develop, implement, and modify individualized treatment plans based on patient goals, clinical progress, and functional outcomes

  • Collaborate with physicians, nursing staff, and interdisciplinary care teams to coordinate patient-centered care

  • Demonstrate advanced clinical expertise within a specialty area and provide guidance for complex cases

  • Monitor, screen, and follow occupational therapy consults within assigned service areas

  • Support departmental operations through clinical leadership, mentorship, and administrative collaboration

  • Maintain accurate and timely clinical documentation in accordance with regulatory and organizational standards

  • Deliver care that addresses patients' physical, psychosocial, educational, and safety needs

Required Qualifications
  • Master's Degree from an Occupational Therapy program accredited by the National Board for Certification in Occupational Therapy (NBCOT) or the American Occupational Therapy Association (AOTA)

  • Licensed or license-eligible as an Occupational Therapist in the State of Georgia, with proof of Georgia licensure required at the commencement of employment

  • Minimum of four (4) years of clinical occupational therapy experience

  • At least one (1) year of experience in a teaching hospital or academic medical center

  • Demonstrated area of clinical expertise through advanced professional experience and/or additional certification

  • American Heart Association (AHA) Basic Life Support (BLS) certification

Preferred Qualifications
  • One (1) or more additional years of experience in a teaching hospital environment

Equal Opportunity Employer

Grady Health System is proud to be an Equal Opportunity Employer. Minorities, females, veterans, individuals with disabilities, and individuals of all sexual orientations and gender identities are encouraged to apply.

Core Competencies
These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment.


1. Patient-Centered Care - Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.
2.Integrity & Accountability - Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.
3.Collaboration & Teamwork - Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.
4. Communication - Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.
5.Respect & Inclusion - Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.
6. Quality & Safety - Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.
7. Adaptability & Resilience - Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.
8. Continuous Improvement - Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.
9. Leadership & Professionalism - Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.
10. Employee Experience Focus - Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.


Grady Total Rewards
At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

  • Health & Wellness: Medical, dental, vision, and prescription drug coverage.

  • Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage.

  • Work-Life Balance: Paid time off, holidays, and family leave benefits.

  • Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement.

  • Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services.

Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond.

Why Join Grady?
Grady Health System is more than a hospital - we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration.


Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued.


At Grady, we don't just work, we make an impact.


Equal Opportunity Employer Statement:
Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.


Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.


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About Grady Health System

Sourced by ZipRecruiter

Grady Health System offers many career paths for Registered Nurses. Whether you have many years of experience or are in the early stages on your nursing career, you can find a rewarding nursing position at Grady! SUMMARY The Registered Nurse (RN), provides age-appropriate, culturally and ethnically sensitive care, maintains a safe environment, educates patients and their families about healthy practices and treatment modalities, assures continuity of care, coordinates care across settings and among caregivers, manages information, communicates effectively, and utilizes technology. Utilizes the nursing process to provide and plan care

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Atlanta, GA, US

Year founded

1892

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