To thrive in a Speech Therapy Utilization Review role, you need a strong background in speech-language pathology, in-depth knowledge of clinical best practices, and the ability to assess medical necessity for therapy services, typically supported by relevant licensure or certification. Familiarity with healthcare documentation, insurance guidelines, prior authorization systems, and electronic health records (EHR) is essential. Excellent analytical skills, attention to detail, and effective communication help you collaborate with clinicians and insurance providers. These skills ensure accurate, compliant determinations that support both patient outcomes and organizational standards.