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Slp Utilization Review Jobs (NOW HIRING)

Speech Language Pathologist (SLP) - PRN Shadelands Post Acute is seeking a compassionate and ... Participate in Patient Care Conferences, Utilization Review Meetings, Rehabilitation Conferences ...

Participate in care conferences, utilization review, and discharge planning * Educate residents ... Active South Carolina SLP license (in good standing) * Experience in skilled nursing or rehab ...

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Slp Utilization Review information

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$44

$67

How much do slp utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for slp utilization review in the United States is $44.25, according to ZipRecruiter salary data. Most workers in this role earn between $37.74 and $50.96 per hour, depending on experience, location, and employer.

What is an SLP utilization review?

An SLP Utilization Review refers to the process in which a Speech-Language Pathologist evaluates the necessity, appropriateness, and efficiency of speech therapy services provided to patients. This review is conducted to ensure that care meets established clinical guidelines and that resources are used effectively. SLPs in this role often review patient records, collaborate with healthcare teams, and make recommendations regarding ongoing therapy or discharge. The goal is to support high-quality patient care while controlling costs and meeting insurance or regulatory requirements.

What are the key skills and qualifications needed to thrive as an SLP utilization review specialist?

To thrive as an SLP Utilization Review specialist, you need a background in speech-language pathology (usually a master's degree and ASHA certification) and strong knowledge of clinical documentation and regulatory guidelines. Familiarity with electronic health records (EHRs), utilization management software, and insurance approval systems is typically required. Excellent analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for success in this role. These abilities ensure accurate assessments, compliance with standards, and efficient coordination between providers, payers, and patients.

What are some common challenges speech-language pathologists face during the utilization review process, and how can they address them?

Speech-Language Pathologists (SLPs) in utilization review often encounter challenges such as interpreting complex insurance guidelines, managing high caseloads, and ensuring thorough documentation that supports medical necessity. Navigating the variations in payer requirements can be time-consuming and requires meticulous attention to detail. To address these challenges, SLPs should stay updated on payer policies, engage in regular training, and collaborate with clinical teams to ensure their documentation aligns with the latest standards. Effective communication skills and ongoing education are key to successful case reviews and approvals.
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What cities are hiring for Slp Utilization Review jobs?

Cities with the most Slp Utilization Review job openings:

What states have the most Slp Utilization Review jobs?

States with the most job openings for Slp Utilization Review jobs include:

Infographic showing various Slp Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $92,039 per year, or $44.2 per hour.

Full-time

Re-posted 14 days ago


Carteret Health Care rating

6.8

Company rating: 6.8 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

602nd of 1,061 rated hospitals


Job description

  • JOB RELATIONSHIPS
    • This position reports to the Director of Research & Innovation. Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the Business Office. This role serves as the clinical support bridge between the non-clinical UR administrative function and the licensed RN UR Specialist, operating under the supervision of licensed nursing staff for all clinically related tasks.

  • DEFINITION OF POSITION
    • The Utilization Review Clinical Associate (URCA) provides clinically informed support to the inpatient Utilization Review (UR) team at Carteret Health Care. This role is distinguished from the non-clinical Utilization Review Support Specialist (URSPEC) by requiring an active clinical license or credential and by performing functions that require clinical knowledge and judgment at a support level, under the supervision and direction of the RN UR Specialist. The URCA assists with concurrent review activities, functional and discharge readiness assessment support, clinical documentation coordination, level-of-care data collection, and payer communication support. The URCA does not independently perform medical necessity determinations or make inpatient/observation status decisions; those functions remain with the RN UR Specialist and Physician Advisor. The URCA enhances team capacity by bridging clinical and administrative UR functions, reducing burden on licensed UR nursing staff, and contributing clinical perspective to care transitions and discharge planning coordination.

  • QUALIFICATIONS
    • Professional
      • Active clinical license or credential required. Qualifying credentials include: Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), Physical Therapist Assistant (PTA), Certified Occupational Therapy Assistant (COTA), Speech-Language Pathologist (SLP), Respiratory Therapist (RT), Medical Assistant (CMA/RMA), or equivalent clinically credentialed healthcare professional. Credential must be in good standing with the applicable state licensing board.
      • Preferred (2) years of clinical experience in an acute care hospital, rehabilitation, skilled nursing, or related inpatient/post-acute setting preferred.
      • Working knowledge of medical terminology, clinical documentation, and patient care workflows in an inpatient environment.
      • Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred.
      • Familiarity with CMS rules relevant to inpatient care (e.g., Two-Midnight Rule, inpatient vs. observation status, Important Message from Medicare, MOON notice) preferred; training will be provided.
      • Proficiency with Microsoft Office (Outlook, Word, Excel) and ability to learn hospital information systems (Meditech, Midas, Providerlink, payer portals).
      • A certification such as Certified Case Manager (CCM), Certified Utilization Review Professional (CURP), or Certified Revenue Cycle Specialist (CRCS) is a plus but not required.

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About Carteret Health Care

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Welcome to Carteret Health Care in Morehead City on the Crystal Coast of North Carolina. Come for the lifestyle, stay for the rewarding career. Imagine being able to live, work and play at the beach. Enjoying a wonderful quality of life, great recreational activities and excellent schools. As part of our mission to promote wellness and service to our community through exceptional quality and compassionate care, our employees are committed to our 'Navigating to Excellence' performance improvement initiative. We offer competitive employee benefits and salaries. Please consider joining our dedicated team — and make a difference every day.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Morehead City, NC, US

Year founded

1967

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