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Therapy Utilization Review Jobs in Minnesota (NOW HIRING)

Zynex

VA Health System Specialist

Minneapolis, MN · On-site

Increase Therapy Utilization & Revenue Growth * Drive measurable increases in therapy utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.

Vivian Health

MDS RN in Robbinsdale, MN

Robbinsdale, MN · On-site

$20K/mo

MDS RN $34.00 - $51.00 Infection Prevention $31.00 - $49.50 Join us at the Good Samaritan Society - Specialty Care Community, a 96-bed facility, provides rehabilitation therapy in both our young ...

TPAC Underwriters

Clinical Risk Nurse

Minneapolis, MN · On-site

$90K - $120K/yr

... and utilization review opportunities * Serve as a clinical subject matter expert for internal ... and pharmaceutical therapies * Familiarity with ICD-10, CPT, HCPCS coding systems and their ...

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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 are popular job titles related to Therapy Utilization Review jobs in Minnesota?

For Therapy Utilization Review jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Therapy Utilization Review jobs in Minnesota look for?

The top searched job categories for Therapy Utilization Review jobs in Minnesota are:

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

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

Therapy Utilization Review jobs near you
Infographic showing various Therapy Utilization Review job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

VA Health System Specialist

Zynex

Minneapolis, MN • On-site

Other

Posted 13 days ago

Job description

Job Title

This is a highly visible, growth-oriented role that combines clinical education, relationship development, healthcare system strategy, and measurable revenue impact. The ideal candidate thrives in complex healthcare environments, enjoys working directly with providers, and is motivated by building long-term, sustainable programs that drive both patient outcomes and organizational growth.

What Makes This Role Unique
  • Opportunity to build and shape therapy programs within one of the most complex healthcare systems in the country
  • Direct impact on veteran patient outcomes through non-pharmaceutical treatment options
  • High degree of autonomy with strong executive and sales leadership visibility
  • Clear pathway for growth into regional or national VA leadership roles
Essential Duties and Responsibilities

Drive Relationship Development Across VA Clinical Stakeholders

  • Build and expand strategic relationships with VA clinical teams, service line leaders, prosthetics departments, and administrative decision-makers.
  • Serve as the primary point of contact for therapy adoption, reimbursement navigation, and long-term program sustainability within assigned VA sites.

Deliver Expert-Level Clinical & Product Education

  • Provide comprehensive education, demonstrations, and ongoing clinical training on therapy solutions.
  • Establish credibility as a subject matter expert across therapy indications, best practices, documentation, coding considerations, VAMC policies, and patient access pathways.

Increase Therapy Utilization & Revenue Growth

  • Drive measurable increases in therapy utilization and prosthetics orders across assigned VA facilities.
  • Support growth targets through expansion of patient starts, activation of new prescribing providers, and standardization of referral pathways.
  • Contribute to facility-level and regional growth objectives, including expansion into additional VAMCs and VISN initiatives over time.
  • Meet and/or exceed Altivera Medical's 2026 VA payor growth objectives, contributing directly to organizational revenue, market expansion, and long-term sustainability within federal health systems.
  • Operate as a sales-driven, productivity-accountable role, with performance measured by utilization growth, order volume, provider adoption, and facility-level expansion

Optimize VA Workflow & Provider Efficiency

  • Assess existing clinical and administrative workflows to identify bottlenecks and improvement opportunities.
  • Partner with clinical and prosthetics teams to implement streamlined processes aligned with VA policies and payer requirements.

Execute Strategies Aligned to VAMC Payer & Organizational Objectives

  • Ensure therapy programs align with VAMC reimbursement structures, prosthetics service requirements, and medical necessity documentation standards.
  • Translate regulatory updates, payer changes, and organizational priorities into actionable field strategies.

Provide Data-Driven Insights & Forecasting

  • Track adoption trends, utilization barriers, and growth opportunities across assigned facilities.
  • Provide strategic feedback, utilization insights, and forecasting input to sales leadership to support regional and national VA strategy.

Enable Multi-Site Expansion Across VA Networks

  • Support expansion into additional VAMCs, CBOCs, and VISN-level initiatives once operational maturity is achieved.
  • Collaborate cross-functionally with government accounts, contracting, reimbursement, and marketing teams to accelerate growth.

Additional Role Considerations

  • Responsibilities, scope, and assigned facilities may evolve based on business needs and organizational priorities.
  • This role includes local and regional travel to VA facilities and affiliated clinics as required.

Required Experience

  • Experience in healthcare, medical device, clinical sales, or federal healthcare systems
  • Strong relationship-building, communication, and stakeholder management skills
  • Ability to work independently and strategically within complex healthcare environments
  • Experience with rehabilitation, pain management, or prosthetics teams is a plus
  • VA experience or established VA relationships preferred but not required
  • Bachelor's degree preferred
  • 3+ years of healthcare, medical device, or clinical field experience preferred

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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