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Senior Occupational Therapy Utilization Review Jobs in Raleigh, NC

Hydro Recruiting

Senior Occupational Therapist

Durham, NC · On-site

$80K - $85K/yr

Master's degree or higher in Occupational Therapy * Certification by the National Board for Certification in Occupational Therapy (NBCOT) * Licensed Occupational Therapist in the state of North ...

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Senior Occupational Therapy Utilization Review information

See Raleigh, NC salary details

$50.1K

$72.4K

$108.4K

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

As of Aug 18, 2026, the average yearly pay for senior occupational therapy utilization review in Raleigh, NC is $72,414.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,800.00 and $77,300.00 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.

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 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.

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 most commonly searched types of Occupational Therapy Utilization Review jobs in Raleigh, NC?

The most popular types of Occupational Therapy Utilization Review jobs in Raleigh, NC are:

Senior Occupational Therapy Utilization Review jobs near you

Senior Occupational Therapist

Hydro Recruiting

Durham, NC • On-site

$80K - $85K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 hours ago

Job description

Lead Occupational Therapist – Pediatrics

Location: Durham, NC & Chapel Hill, NC

Salary: $80,000 – $85,000 per year

Schedule: Full-Time

Our client is currently hiring a Lead Occupational Therapist to provide pediatric services across both clinic and community settings. This role offers the opportunity to take a leadership position within a multidisciplinary environment, working closely with a team of Occupational Therapists and Certified Occupational Therapy Assistants (COTAs) to deliver high-quality, client-centered care for children with physical, emotional, developmental, or mental health challenges.

The Lead OT will work under the supervision of the Clinical Director and is expected to model professionalism, clinical excellence, and a commitment to mentorship and growth within the team.

Responsibilities:
  • Provide supervision, support, and performance evaluation for pediatric OTs and COTAs.
  • Develop and update individualized treatment programs tailored to various pediatric needs.
  • Ensure team adherence to clinic-wide protocols, documentation standards, and safety guidelines.
  • Mentor new hires and interns, facilitating their onboarding and clinical development.
  • Support professional development through training opportunities and education planning.
  • Participate in scheduling, workflow management, and filling in for schedule needs when necessary.
  • Maintain accurate documentation and ensure all services comply with legal and insurance standards.
  • Offer hands-on guidance with complex cases and provide resources on treatment techniques.
  • Facilitate the implementation of new clinic-wide initiatives related to quality and compliance.
  • Demonstrate excellent interpersonal skills and navigate challenging conversations as needed.
Requirements:
  • Master's degree or higher in Occupational Therapy
  • Certification by the National Board for Certification in Occupational Therapy (NBCOT)
  • Licensed Occupational Therapist in the state of North Carolina
  • At least 3 years of clinical experience in pediatric occupational therapy
  • Minimum 1 year of supervisory experience overseeing OTs or COTAs
  • Proficient with electronic health record systems
  • Strong communication, leadership, and organizational skills
  • Familiarity with best practices and legal regulations in pediatric OT care
Benefits:
  • Competitive salary with performance-based bonuses
  • Paid time off and federal holidays
  • Up to 5 days off during year-end holiday closure
  • Health, dental, and vision insurance for full-time employees
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options
  • Voluntary long-term and short-term disability, and life insurance
  • 401(k) for full-time employees
  • Ongoing supervision, mentorship, and access to leadership training
  • Collaborative, supportive work environment with opportunities for advancement
  • Extensive onboarding and training for new hires

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