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Therapy Utilization Review Jobs in Minnesota (NOW HIRING)

company1461

Staff Pharmacist

Mendota Heights, MN · On-site

$58 - $68.25/hr

Perform utilization review for prescriptions * Review labeling of all prescriptions dispensed for accuracy * Review patient labs, height, and weight when needed for therapy * Maintain pharmacy files ...

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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, 81% Full Time, 11% Part Time, 6% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Associate/Licensed Therapist! - Adult Residential

A Better Life Recovery LLC

Stillwater, MN • On-site

$72K - $96K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Primary Therapist at AMFM Healthcare

Join our team as a Primary Therapist at AMFM Healthcare for our adult residential mental health facilities in Minnesota! Are you passionate about transforming lives through compassionate, evidence-based mental health care? AMFM Healthcare, a leading adult residential treatment center around the nation, is seeking a Therapist to join our dedicated team. If you're looking for a career where you can make a lasting impact, work in a supportive team environment, and grow professionally, we'd love to hear from you!

Why AMFM Healthcare?

At AMFM Healthcare, our mission is to provide personalized, comprehensive care that helps individuals achieve long-term recovery and a better quality of life. We specialize in evidence-based treatment approaches, offering a structured yet nurturing environment where clients can heal and thrive.

Your Role as a Floater Primary Therapist

As a Floater Primary Therapist, you will provide individual and group therapy to adults in our residential treatment programs as needed for coverage and additional support to the assigned Primary Therapist. You will work collaboratively with a multidisciplinary team to support our clients' treatment plans that support clients in their recovery journey. This role is ideal for a compassionate professional who is committed to delivering high-quality mental health care and is experienced in working with diverse populations.

What You'll Do:

  • Conduct clinical evaluations, biopsychosocial assessments, and diagnostic assessments to develop individualized treatment plans.
  • Provide individual and group therapy sessions using evidence-based approaches such as CBT, DBT, and trauma-informed care.
  • Offer crisis counseling and intervention when needed.
  • This role is designed to be an additional layer of support for the assigned primary therapist, and will be floating between four residential homes in the Stillwater area.
  • Maintain accurate and timely Electronic Health Records (EHR).
  • Assist in insurance pre-certification/authorization and utilization review.
  • Collaborate with a multidisciplinary team to ensure comprehensive client care.
  • Support clients in developing coping skills and strategies for long-term recovery.
  • Participate in staff meetings, training sessions, and case consultations.
  • Provide emergency crisis services during work hours and after-hours as assigned.
  • Uphold ethical, legal, and professional standards at all times.

Compensation & Schedule:

  • Salary: $72,000 - $96,000 (dependent on experience & licensure)
  • Job Type: Full-time, Salary, Exempt
  • On call and flexible schedule required
  • Schedule: Monday - Friday | 9:00 AM - 5:00 PM. Willing to work an on-call schedule as needed that is determined by program needs.
  • Case Load: 4-8 clients (based on program needs)
  • Work Location: Based in Stillwater, MN and will provide coverage for 4 homes in the Stillwater area
  • Work Requirement: In-person, 5 days per week

What We Offer:

  • Comprehensive Benefits Package:
    • Medical, Dental, and Vision plans through Anthem
    • FSA/HSA Accounts
    • 100% employer-paid Life/AD&D Insurance
    • 401(k) plan with employer match
    • PTO / Sick Time / Self Care / Paid Holidays
    • Mileage reimbursement when traveling between programs
    • Educational Assistance Reimbursement Program
    • Employee Assistance Program (EAP)
    • Health & Wellness Membership

What We're Looking For:

  • Education: Master's or Doctoral degree in Psychology, Social Work, Counseling, or a related field.
  • Licensure: Current Mental Health Professional (LICSW, LPCC, LMFT, OR LP) or Mental Health Practitioner. Associate clinicians are welcome to apply. Clinical Supervision is provided
  • Experience: Working with adults diagnosed with mood disorders, anxiety disorders, personality disorders, and trauma-related conditions. Must have experience within a residential treatment setting.
  • Clinical Skills: Strong assessment, diagnostic, and treatment planning skills.
  • Flexibility: Willingness to work some weekends on call and assist with after-hours crisis calls when needed.
  • Teamwork: Ability to work effectively in a collaborative, team-oriented environment.
  • Commitment to Excellence: Dedication to ethical practice and professional development.

Preferred Qualifications:

  • Experience in residential treatment settings
  • Specialized training or certification in trauma-informed care, substance use disorders, or other relevant areas

Make a Difference at AMFM Healthcare

At AMFM Healthcare, we are more than just a treatment center—we are a community dedicated to healing, hope, and transformation. If you are looking for a rewarding career where you can truly impact lives, we encourage you to apply today. Join our team and be part of something meaningful!

AMFM Healthcare is committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws.

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