... Utilization Review Coordinator for our team in Blue Ash OH! WHO WE ARE The New Vista mission ... With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful health ...
... Utilization Review Coordinator for our team in Blue Ash OH! WHO WE ARE The New Vista mission ... With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful health ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... mental health therapy, a vision program, and prescription medications. * Medical Coverage
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... mental health therapy, a vision program, and prescription medications. * Medical Coverage
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per ... mental health therapy, a vision program, and prescription medications. * Medical Coverage
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per ... mental health therapy, a vision program, and prescription medications. * Medical Coverage
Care Review Processor I
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title: Care ... utilization review for other healthcare services. * Checks eligibility and verifies benefits ...
Care Review Processor I
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title: Care ... utilization review for other healthcare services. * Checks eligibility and verifies benefits ...
Care Review Processor I
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title : Care ... or utilization review for other healthcare services. Checks eligibility and verifies benefits ...
Care Review Processor I
Columbus, OH · On-site
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Title : Care ... or utilization review for other healthcare services. Checks eligibility and verifies benefits ...
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Lebanon, OH · On-site
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Lebanon, OH · On-site
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
Lebanon, OH · On-site
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
Lebanon, OH · On-site
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
Quick apply
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Toledo, OH · On-site
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
Quick apply
MDS Nurse Transition Leader
Toledo, OH · On-site
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
Monroe, OH · On-site
$34 - $44.50/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
New
Quick apply
MDS Nurse Transition Leader - RN
Monroe, OH · On-site
$34 - $44.50/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
New
MDS Nurse Transition Leader - RN
Springboro, OH · On-site
$31.50 - $41.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
New
Quick apply
MDS Nurse Transition Leader - RN
Springboro, OH · On-site
$31.50 - $41.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
New
MDS Nurse Transition Leader
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
Quick apply
MDS Nurse Transition Leader
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
$32.75 - $42.75/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Toledo, OH · On-site
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Toledo, OH · On-site
$35.25 - $46/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader - RN
Mason, OH · On-site
$33.50 - $44/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
Quick apply
MDS Nurse Transition Leader - RN
Mason, OH · On-site
$33.50 - $44/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
Quick apply
MDS Nurse Transition Leader
Columbus, OH · On-site
$34.50 - $45.25/hr
Facilitate the weekly Medicare/therapy Utilization Review Meetings * Act as the therapy liaison * Provide training materials to staff and team when appropriate * Collaborate in the development of new ...
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?
| Aspect | Therapy Utilization Review | Speech-Language Pathologist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications | Requires a master's degree in speech-language pathology and state licensure |
| Work Environment | Insurance companies, healthcare organizations, or utilization review departments | Hospitals, clinics, schools, or private practice |
| Industry Usage | Focuses on evaluating therapy necessity and coverage | Provides 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 Ohio?
For Therapy Utilization Review jobs in Ohio, the most frequently searched job titles are:
- Flexible Utilization Review Nurse
- Overnight Utilization Review Nurse
- Telecommute Hedis Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Therapist Utilization Review Remote
- Part Time Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
- Remote Utilization Review Nurse
- Home Based Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
What job categories do people searching Therapy Utilization Review jobs in Ohio look for?
The top searched job categories for Therapy Utilization Review jobs in Ohio are:
- Medical Claims Review Nurse
- Remote Utilization Review Nurse Practitioner
- Volunteer Navihealth Utilization Review
- Remote Navihealth Utilization Review
- Per Diem Chart Review Nurse Practitioner
- Remote Preservice Review Nurse
- Freelance International Utilization Review Nurse
- Anthem Utilization Review Nurse
- Remote Weekend Utilization Review
- Cigna Utilization Review Nurse
What cities in Ohio are hiring for Therapy Utilization Review jobs?
Cities in Ohio with the most Therapy Utilization Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 17 days ago
Job description
Job Address:
10123 Alliance Road, Suite 320 Blue Ash, OH 45242New Vista Health and Wellnessis currently recruiting aUtilization Review Coordinatorfor our team in Blue Ash OH!
WHO WE ARE
The New Vista mission:Inspiring Hope, Restoring Peace of Mind, Healing Lives.At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.
Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient's lives.
COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATRIVER VISTA!
PERKS AT WORK
Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package:
Healthcare + Life Balance
- Medical Packages with Rx - 3 Choices
- Flexible Spending Accounts (FSA)
- Dependent Day Care
- Spending Accounts
- Health Spending Accounts (HSA) with a company match
- Dental Care Program - 2 choices
- Vision Plan
- Life Insurance Options
- Accidental Insurances
- Paid Time Off + Paid Holidays
- Employee Assistance Programs
- 401k with a Company Match
Education + Leadership Development
- Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
- Handle with Care Trainer - Certifications
Recognition + Rewards
- On the spot recognition
- Prizes
- Team Member of the Quarter
- Team Member of the Year
- Monthly Celebrations
- Team Member Recognition Cards
Education
- High school diploma or GED (Required)
- Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred.
- Previous Utilization Review experience in a behavioral healthcare facility preferred.
JOB RESPONSIBILITIES
As Utilization Review Coordinator, you will :
- Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment.
- Coordinate authorization information with third party payors in a timely manner.
- Complete thorough and accurate documentation in all required systems.
- Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed.
- Reports appropriate denial and authorization information to designated resource.
- Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP.
- Provide support to the UM Specialists.
Skills:
- Ability to multi-task
- Strong organization skills
- Strong problem-solving skills
- Ability to work well independently and as a part of a team
Qualified candidates, apply now for a chance to join our outstanding team as weInspire Hope, Restore Peace of Mind, and Heal Lives.