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Therapy Clinical Reviewer Jobs (NOW HIRING)

Encoded Therapeutics

Clinical Data Manager

$110K - $135K/yr

Experience supporting gene therapy, rare disease, neurology, or cell therapy clinical programs. * Experience with electronic patient reported outcomes. * Experience with the review, reconciliation ...

UHS

Clinical Therapist

West Jordan, UT · On-site

$4.0K/wk

Timely completion of progress notes, documenting thoroughly for utilization reviews * Engagement ... Master's degree in social work, marriage and family therapy, clinical or counseling psychology or ...

Apex Informatics

Clinical Educator

White Plains, NY · On-site

Clinical (Non-Nursing) Respiratory Therapy FLSA Status: Non-Exempt Shift: Mon-Fri 7am-3pm Position ... Reviews and becomes familiar with current trends impacting Respiratory Care, both locally and ...

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Therapy Clinical Reviewer information

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$14

$34

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How much do therapy clinical reviewer jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for therapy clinical reviewer in the United States is $34.62, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $32.93 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a therapy clinical reviewer?

To thrive as a Therapy Clinical Reviewer, you need a solid background in behavioral health or therapy, typically supported by a relevant clinical license (e.g., LCSW, LPC, or LMFT) and experience in direct patient care. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance or regulatory guidelines are commonly required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for evaluating clinical documentation and collaborating with providers. These skills and qualifications ensure accurate clinical reviews, regulatory compliance, and optimal patient outcomes.

What does a therapy clinical reviewer do?

As a therapy clinical reviewer, your job is to review each case and determine whether or not a proposed care plan is appropriate for the patient. In this role, you may gather and document information about the patient and their case, review their eligibility for insurance benefits, and make the final decision about whether a particular service or treatment should be used. A therapy clinical reviewer often specializes in specific areas, such as physical therapy or speech therapy, and may focus on unusual or expensive cases that require extra attention during the auditing process. You may also coach letter writers to ensure that the appropriate medical necessity language is used in denial letters.

What are the primary responsibilities of a therapy clinical reviewer and how do they interact with other healthcare professionals?

A Therapy Clinical Reviewer is responsible for evaluating therapy-related clinical documentation to determine the medical necessity and appropriateness of proposed treatments. This role often involves reviewing patient records, treatment plans, and progress notes submitted by therapists, and making recommendations or decisions regarding coverage or further care. Therapy Clinical Reviewers frequently collaborate with therapists, physicians, and case managers to clarify clinical details and ensure adherence to policy guidelines. Effective communication and teamwork are essential, as the reviewer must translate clinical findings into actionable feedback and sometimes participate in multidisciplinary case discussions.

What is a therapy clinical reviewer?

A Therapy Clinical Reviewer is a licensed health professional, such as a physical therapist, occupational therapist, or speech-language pathologist, who evaluates clinical documentation and treatment plans to determine the medical necessity and appropriateness of therapy services. They typically work for insurance companies, healthcare organizations, or third-party review agencies, and ensure that therapy services provided to patients meet established guidelines and standards of care. Their work helps promote quality patient care while managing healthcare costs and complying with regulations.
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Therapy Clinical Reviewer jobs near you
Infographic showing various Therapy Clinical Reviewer job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $72,002 per year, or $34.6 per hour.

Empower Home Health Clinical Field Manager (RN)

Apollo Medical

West Dundee, IL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Home Health Clinical Field Manager


Company: Empower Home Health - a LiveWell Partners network agency

Compensation: Salary, processed bi-weekly (26 pay periods).

Shift Type: Full-time, on-site, in office Monday - Friday, with participation in backup supervisor on-call rotations.

Benefits:

  • 100% Company Paid Premiums for Dental, Vision, & Short-Term Disability Coverage

  • 3 Medical Plan Options with Low Premiums

  • Whole Person Approach

  • Monthly Mobile Device Reimbursement

  • 401(k) with 3.5% Match

  • Long-Term Disability Coverage

  • Voluntary Life Insurance

  • Tablet Provided

  • PTO 

  • Mileage Reimbursement

  • Paid Holidays  

  • Paid Bereavement Leave

  • Employee Assistance Program

  • Positive & Supportive Culture

  • Professional Growth Opportunities

Summary 

The Home Health Clinical Field Manager (CFM) is responsible for day-to-day field operations, clinical staff management, patient care oversight, and clinical performance within an assigned team. The Home Health Clinical Field Manager (CFM) provides leadership, coaching, support, and accountability to clinicians while ensuring high-quality patient care, regulatory compliance, and achievement of agency goals. 

The Home Health Clinical Field Manager (CFM) serves as the primary operational leader for field staff and functions as the main liaison between clinicians, physicians, patients, caregivers, and agency leadership. The Home Health Clinical Field Manager (CFM) is cross-trained to support Clinical Review Manager workflows as needed. 

Primary Responsibilities: 

Operations and Clinical Oversight 

  • Manage day-to-day operations for an assigned team of clinicians. 

  • Oversee patient care delivery to ensure compliance with physician orders, agency standards, and regulatory requirements. 

  • Monitor clinician productivity, scheduling effectiveness, documentation timeliness, and quality outcomes. 

  • Ensure timely follow-up on clinical issues, patient concerns, and physician requests. 

  • Assist in addressing hospitalizations, missed visits, patient complaints, and other operational concerns. 

Staff Leadership and Development 

  • Supervise, coach, mentor, and develop assigned field clinicians. 

  • Conduct onboarding, orientation, competency validation, and ongoing education. 

  • Complete performance evaluations and assist with corrective action plans when necessary. 

  • Conduct regular clinician ride-alongs and field evaluations. 

  • Provide real-time clinical support and problem-solving assistance. 

Physician and Patient Relations 

  • Serve as a key point of contact for physicians, referral sources, patients, families, and caregivers. 

  • Collaborate with providers to ensure timely communication regarding patient status, orders, and care plan changes. 

  • Promote positive patient and referral source experiences. 

Case Conference and Care Coordination 

  • Lead interdisciplinary case conferences. 

  • Review patient progress, recertification needs, utilization, and discharge planning. 

  • Coordinate care across nursing, therapy, and other disciplines. 

  • Assist clinicians with complex patient situations and care planning. 

Quality and Compliance 

  • Participate in QAPI activities and performance improvement initiatives. 

  • Monitor clinical outcomes, documentation quality, and compliance with agency standards. 

  • Support implementation of corrective action plans and quality improvement measures. 

  • Assist with survey preparation and regulatory readiness activities. 

Cross-Functional Support 

  • Maintain competency in Clinical Review Manager responsibilities. 

  • Assist with review workflows during volume fluctuations, staffing shortages, or operational needs. 

  • Collaborate with Clinical Review Managers to improve documentation quality and clinical outcomes. 

Productivity Expectations 

  • Primary responsibility for management of approximately 30-40 clinicians. 

  • Clinical teams with fewer than 30 clinicians may require:  

  • Additional visit productivity, or 

  • Assistance with Clinical Review Manager workflow. 

  • Therapy Clinical Field Managers are expected to maintain 24-32 visit points bi-weekly when applicable. 

  • Meet agency-established standards for staff engagement, quality outcomes, and operational performance. 

  • Other duties as reasonably assigned.  

Qualifications: 

  • Current unrestricted RN, PT, OT, or other applicable professional license. 

  • Minimum three (3) years of home health experience preferred. 

  • Supervisory or leadership experience preferred. 

  • Strong knowledge of Medicare Conditions of Participation and home health operations. 

  • Demonstrated leadership, communication, coaching, and conflict resolution skills. 

  • Ability to manage a multidisciplinary team in a fast-paced environment. 

  • Proficiency with EMR systems and reporting tools. 

EEO Statement: LiveWell provides equal employment opportunities (EEO) to all team members and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, LiveWell complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. LiveWell expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of LiveWell team members to perform their job duties may result in discipline, up to and including discharge.  


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