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Senior Occupational Therapy Utilization Review Jobs

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

PA RN License Required We are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine ...

Utilization Review Specialist

Greenville, NC ยท On-site

$65K - $95K/yr

Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS ... occupational health screening, criminal record check, education, reference, and licensure ...

Utilization Review Technician Under direction of the Utilization Review Technician Supervisor, the ... senior staff * Prepare patient charts for medical audits Education & Experience Requirements:

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) with Behavioral Health ...

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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 Aug 9, 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

DMC Huron Valley-Sinai Hospital

Commerce, MI โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Job description

Embark on a rewarding career with DMC Huron Valley-Sinai Hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.
Benefits Statement
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
โ€ข Medical, dental, vision, and life insurance
โ€ข 401(k) retirement savings plan with employer match
โ€ข Generous paid time off (PTO)
โ€ข Career development and continuing education opportunities
โ€ข Health savings accounts, healthcare & dependent flexible spending accounts
โ€ข Employee Assistance program, Employee discount program
โ€ข Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status
Job Summary
Under general supervision and according to established policies and procedures, provides oversight to the occupational therapy team. Assists department leadership in overseeing the day-to-day operations and resolving problems. Coordinates staff work schedules and patient care assignments to ensure timely service delivery. Follows, clarifies and enforces department policies and procedures to ensure efficient provision of occupational therapy services. Assumes supervisory responsibility in the absence of department leadership. Participates in the selection and evaluation of occupational therapy personnel.
Coordinates and participates in department performance improvement activities. Serves as a clinical resource to the occupational therapy team and assists departmental staff with resolving complex cases and/or problems. Participates in setting and implementing goals for the occupational therapy team. Serves as a mentor to assist in professional growth and development of therapy staff. Provides in-service education and orientation programs.
Oversees, instructs and evaluates occupational therapy staff in the application of occupational therapy principles, modalities and techniques. Assists with volunteer program, as needed. Functions as a role model for customer service. Assists in marketing occupational therapy services to patients, families and other health care professionals in the community. Serves as a clinical resource for community-based agencies, institutions and universities.
Assists management in department functions and special projects, i.e., utilization review, quality assurance, program development and committee work. Conducts studies and research projects as requested. Performs all the duties/responsibilities of an Occupational Therapist, as required.
Qualifications:
Minimum Qualifications
1. Bachelor's or Master's degree in Occupational Therapy.
2. Three to five years of progressively more responsible experience in a clinical area in order to acquire leadership skills, and skills for specialized and independent patient treatment.
3. Leadership experience is strongly preferred.
4. Current license to practice as an Occupational Therapist in the State of Michigan.
5. Initial certification with the National Board for Certification in Occupational Therapy (NBCOT).
Skills Required
1. Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
2. Analytical ability and comprehensive knowledge base necessary to evaluate and treat patients, identify opportunities for improvement and problem resolution, evaluate client status and healthcare procedures/techniques, monitor quality of client care and make appropriate recommendations and determine methods for ensuring compliance with department policies and procedures.
3. Interpersonal skills to interact effectively with patients, staff and various levels of management personnel.
4. Technical knowledge of current treatment techniques associated with occupational therapy.
Facility Description
DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding customer service and medical care. This hospital features the Harris Birthing Center with all private birthing suites, the Charach Cancer Treatment Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient diagnostic care. For emergency services, obstetrics and ambulatory surgery, Huron Valley-Sinai consistently ranks among the top hospitals in the nation.
EEO Statement
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations