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Senior Occupational Therapy Utilization Review Jobs

Kaiser Permanente

Sr Occupational Therapist

San Jose, CA · On-site

$47.25 - $62/hr

Provides occupational therapy services in specialized patient care clinics, and assists in the development, implementation, and review of departmental patient care programs. Essential ...

Sentara Health Plans

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

Sentara Health Plans

$60 - $80/hr

The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

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 ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...

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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 Sep 8, 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.

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 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:

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For Senior Occupational Therapy Utilization Review jobs, the most frequently searched job titles are:

Senior Occupational Therapy Utilization Review jobs near you

Sr Occupational Therapist

San Jose, CA • On-site

Kaiser Permanente
Health Care and Social Assistance • 10K+ employees
Learn more about Kaiser Permanenteexternal

$47.25 - $62/hr

Other

Posted 4 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 928 frontline employees who took The Breakroom Quiz

55th of 898 rated healthcare providers

Job description

Job Summary:
Provides independent occupational therapy management of patients, under the direction of the Director of Rehabilitation or designee. Provides occupational therapy services in specialized patient care clinics, and assists in the development, implementation, and review of departmental patient care programs. Essential Responsibilities:
  • Evaluates patients and interprets evaluation findings to determine the nature and extent of dysfunction. Establishes treatment goals and plans treatment to achieve established goals. Initiates discharge planning for occupational therapy. Implements the treatment plan through direct treatment of the patient, delegates a portion of the treatment plan to appropriate supportive personnel, and coordinates the treatment program with other health care personnel as appropriate.
  • Provides advice and education to patient and family. Evaluates need for and trains patient/family in the use of special equipment or devices and adapts as necessary e.g., splints, slings, prosthesis, A.D.L equipment or refers to other disciplines as necessary for effective treatment. Regularly reassesses clinical signs and symptoms to determine effectiveness of treatment, progress of patients towards goals, and the need for modifying goals and treatment. Discharges patient from occupational therapy when the patient has received maximum benefit from occupational therapy. Provides accurate, timely documentation of occupational therapy patient management.
  • Participates in appropriate and approved educational and clinical research activities in occupational therapy. Participates in specialized patient care clinics outside the department. Assists in the development, implementation, and review off departmental patient care programs. Performs other duties as needed in the areas of staff education, departmental operations, and departmental projects. Demonstrates on-going progress toward meeting the criteria for professional practice.
  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience
  • Minimum two (2) years of experience as an occupational therapist required.
Education
  • Graduate of an accredited occupational therapy curriculum with a bachelors or masters degree with certification in occupational therapy or foreign-trained equivalent.
License, Certification, Registration
  • Occupational Therapist License (California) required at hire
  • National Provider Identifier required at hire
  • Basic Life Support required at hire
Additional Requirements:
  • Ability to perform both routine and complicated therapy under general supervision.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
  • N/A

Primary Location: California,San Jose,San Jose Hospital
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Sun, Mon, Tue, Wed, Thu
Working Hours Start: 08:30 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Onsite
Employee Group/Union Affiliation: A20|AFSCME|UNAC-UTNC-United Therapists of Northern CA
Job Level: Individual Contributor
Department: San Jose Hospital - Occupational Therapy-Inpatient - 0206
Pay Range: $66.69 - $70.62 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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