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Therapy Utilization Review Jobs in Florida (NOW HIRING)

$65K - $111K/yr

Performs utilization review activities to ensure that services rendered to members meet Long Term ... Physical, Occupational, or Rehab Therapists with a minimum of one year of relevant experience.

Care Review Clinician Integrated Resources, Inc is a premier staffing firm recognized as one of the ... Therapy and Nursing. Summary: Works with the Utilization Management team primarily responsible for ...

... Therapy and Nursing. Summary: Works with the Utilization Management team primarily responsible for ... Provides daily review and evaluation of members that require hospitalization and/or procedures ...

Responsible for the performance of Utilization Review services, including pre-admission ... Works with the physicians and therapists to set up medical assessments to develop an overall ...

Responsible for the performance of Utilization Review services, including pre-admission ... Works with the physicians and therapists to set up medical assessments to develop an overall ...

Responsible for the performance of Utilization Review services, including pre-admission ... Explains physician's and therapists' instructions, and answers any other questions the claimant may ...

Three (3) to five (5) years' experience in chart analysis and utilization review in the psychiatric and chemical dependency filed preferred. * Valid FL license, e.g., RN, LSCW, LMHC or LMFT preferred.

Three (3) to five (5) years' experience in chart analysis and utilization review in the psychiatric and chemical dependency filed preferred. * Valid FL license, e.g., RN, LSCW, LMHC or LMFT preferred.

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Therapy Utilization Review information

What is therapy utilization review?

Therapy Utilization Review is a process used by healthcare organizations and insurance companies to evaluate the necessity, efficiency, and appropriateness of therapy services being provided to patients. This review ensures that treatments such as physical, occupational, or speech therapy are medically necessary and align with established guidelines. The goal is to optimize patient care while managing costs and preventing overuse or misuse of therapy services. Professionals in this role review patient records, treatment plans, and progress notes, often collaborating with therapists and other healthcare providers.

What are the key skills and qualifications needed to thrive as a therapy utilization review specialist?

To thrive as a Therapy Utilization Review specialist, you need a solid background in clinical therapy practice (such as physical, occupational, or speech therapy), often supported by licensure and clinical experience. Familiarity with medical review software, electronic health records (EHRs), and utilization management systems is typically required, along with knowledge of insurance guidelines and regulatory standards. Strong analytical thinking, attention to detail, and clear communication skills help professionals effectively assess treatment plans and collaborate with both providers and payers. These skills and qualities are essential for ensuring that patients receive medically necessary, cost-effective therapy while maintaining compliance with regulations.

What are some common challenges faced by professionals in therapy utilization review, and how can they be managed?

One of the main challenges in Therapy Utilization Review is balancing the clinical needs of patients with insurance guidelines and organizational policies. Professionals often need to make difficult decisions about treatment approvals while communicating effectively with both therapists and insurance providers. Staying current on clinical guidelines, maintaining strong documentation skills, and developing firm but empathetic communication abilities can help manage these challenges. Collaboration with interdisciplinary teams is also essential to ensure patients receive appropriate care while meeting regulatory requirements.

What is the difference between Therapy Utilization Review vs Speech-Language Pathologist?

AspectTherapy Utilization ReviewSpeech-Language Pathologist
CredentialsTypically requires healthcare or insurance-related certificationsRequires a master's degree in speech-language pathology and state licensure
Work EnvironmentInsurance companies, healthcare organizations, or utilization review departmentsHospitals, clinics, schools, or private practice
Industry UsageFocuses on evaluating therapy necessity and coverageProvides direct therapy services to patients with speech or language disorders

While Therapy Utilization Review involves assessing the necessity of therapy services for insurance coverage, Speech-Language Pathologists provide direct patient care. Both roles require healthcare knowledge, but they differ in focus: one is review-based, the other is clinical service delivery.

What cities in Florida are hiring for Therapy Utilization Review jobs?

Cities in Florida with the most Therapy Utilization Review job openings:

Infographic showing various Therapy Utilization Review job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Travel Utilization Review RN

Host Healthcare

Fort Myers, FL • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago


Job description

Host Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Host Healthcare Job ID #a1fVX000003q84bYAA. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Case Management

About Host Healthcare

At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don’t have to.

We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you.

During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.

Travel comfortably with Host Healthcare.

Benefits
  • Referral bonus
  • School loan reimbursement
  • Vision benefits
  • Wellness and fitness programs
  • Company provided housing options
  • License and certification reimbursement
  • Life insurance
  • Medical benefits
  • Mileage reimbursement
  • Pet insurance
  • Discount program
  • Employee assistance programs
  • Guaranteed Hours
  • Health savings account
  • Holiday Pay
  • 401k retirement plan
  • Continuing Education
  • Dental benefits

Host Healthcare logo

About Host Healthcare

Sourced by ZipRecruiter

At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.

Industry

Hospitals

Company size

201 - 500 Employees

Headquarters location

San Diego, CA, US

Year founded

2012