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Therapy Utilization Review Jobs in Michigan (NOW HIRING)

May need to fill in for utilization review as needed. Serves as group therapy facilitator for patients, family members and significant others. Conducts group and individual educational sessions for ...

... Therapist or Licensed Occupational Therapist required. * Extensive experience in post-acute ... One (1) year of utilization management preferred. * Certification in Case Management may be ...

This role involves delivering high-quality patient care through individual and group therapy ... Proficiency in intake assessments, treatment planning, discharge planning, utilization review, and ...

Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review ...

Showing results 21-40

Therapy Utilization Review information

See Michigan salary details

$13

$27

$46

How much do therapy utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for therapy utilization review in Michigan is $27.84, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $35.38 per hour, depending on experience, location, and employer.

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.

Infographic showing various Therapy Utilization Review job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $57,905 per year, or $27.8 per hour.

Mental Health Therapist

MyMichigan Health

Alma, MI • On-site

Part-time

Re-posted 17 days ago


MyMichigan Health rating

6.6

Company rating: 6.6 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers


Job description

Summary
Full Time
This is a full time position with duties being split between two departments, Psych Partial (Req ID 46759) and Case Management (Req ID 45618). Please review postings for full job descriptions.
The essential functions of this position include, but are not limited to, serving as therapist and Case Manager for patients in the Psychiatric Partial Hospitalization Program. This position also serves as a liaison for therapy services needed by hospital inpatients or emergency room patients who are awaiting placement on a Behavioral Health Unit. The therapist is responsible for planning and delivery of therapy and educational services to patients, and, if indicated, to their families and significant others; monitoring and management of patient behavior in order to maintain the therapeutic environment and patient safety; performs admission, discharge and utilization review; and effectively markets the program. Other functions may be assigned.
Responsibilities
(25%)* Responsible for the assessment, development, implementation, evaluation and documentation of patient treatment programs.
(20%)* Assesses patients upon admission and collects data to determine the current status of patients.
(20%)* Participates improving the patients' physical health and maintaining their safety in all settings.
(15%)* Screens program applicants as needed in all settings and either provides, or makes recommendations, for appropriate treatment and setting. May need to fill in for utilization review as needed.
(10%)* Maintains program patient medical record and records information legibly, accurately, using the approved format, timely, and following all procedures.
Certifications and Licensures
BLS - Basic Life Support
Required Equivalent Experience - Within 1 month of hire or transfer
FINGERPRIN - Fingerprinting
Required Equivalent Experience -
PCSW - Psychologist/Counselor/Social Worker
Required Equivalent Experience - Licensed Master of Social Work, Licensed Master of Psychology or Licensed Professional Counselor in the State of Michigan required. If currently possess a limited MSW license or Professional Counseling license, must obtain full licensure with the state of Michigan within 3 years of hire or transfer required.
TEAM ADVANCED - Techniques for Effective Aggression Mgt
Required Equivalent Experience -
Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)
Required Education
Education: Masters Degree
Comments: Master's Degree in psychology, social work or professional counseling.
Other Information
OTHER DUTIES AND RESPONSIBILITIES
Participates in the admission process, including orientation of new patients.
Provides group or individual therapy for patients when indicated in the partial program or in the other areas of the hospital as needed.
Responsible for the documentation of Bio Psycho Social Assessments, Continuing Care Plans, Admission Reviews, Problem Lists, Discharge Summaries and Treatment Planning.
May need to fill in for utilization review as needed. Serves as group therapy facilitator for patients, family members and significant others.
Conducts group and individual educational sessions for patients, family members and significant others.
Provides individual/conjoint therapy to patients, family members and significant others.
Participates in patient progress review meetings.
Responds appropriately to patient conditions utilizing critical thinking skills.
Demonstrates effective and pleasant interpersonal relations.
Demonstrates ability to be flexible in changing work environment.
Verifies Patients' insurance, obtains authorization to bill for treatment, and ensures program meets insurance company criteria for reimbursement.
Participates in data collection as needed to analyze the success of the Liaison program in addition to the other quality metrics of the program.
Adheres to all policies and procedures related to employment, safety, program provision and operations.
Is familiar with the Michigan Mental Health Code as it relates to: recipient rights; Confidentiality; Abuse and Neglect; and Duty to Warn.
Demonstrates competency in Infection Prevention and Control Practices and Policies.
Other duties as assigned.
EXPERIENCE, TRAINING AND SKILLS
Must have been involved in the delivery of mental health services for at least 1 year within the previous 5 years.
Must participate in recipient rights instruction within 30 days of hire.
Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
Overall vision and hearing is necessary with or without assisted device(s).
Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
Some exposure to blood borne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.
Other Comments
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