To thrive as a Therapy Reviewer, you need a strong background in clinical therapy, healthcare regulations, and case management, typically supported by a degree in a behavioral health field and relevant licensure (such as LCSW, LPC, or LMFT). Familiarity with utilization review software, medical record systems, and standardized assessment tools is important for evaluating treatment plans. Excellent analytical thinking, attention to detail, and effective communication are critical soft skills for making sound clinical determinations and collaborating with providers. These skills ensure accurate, ethical, and efficient reviews that support quality patient care and compliance with payer requirements.