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Therapy Utilization Review Jobs in Washington (NOW HIRING)

Gaudenzia

Clinical Review Clinician

Washington, DC · On-site

$85K/yr

We are seeking master's level, licensed, clinician, with documented experience in utilization ... LICSW, LPC, LMFT, or licensed psychologist) Scheduling: * Onsite Position * Must work 11-7 or 12-8 ...

Gaudenzia

Clinical Review Clinician

Washington, DC · On-site

$85K/yr

We are seeking master's level, licensed, clinician, with documented experience in utilization ... LICSW, LPC, LMFT, or licensed psychologist) Scheduling: * Onsite Position * Must work 11-7 or 12-8 ...

August Iliff

Physical Therapist

Dunn Loring, VA · On-site

$1.6K - $2.1K/wk

... and utilization review meetings • Educate residents, families, and staff on therapy goals and plans • Maintain productivity and documentation standards • Support regulatory compliance and ...

August Iliff

Physical Therapist

Dunn Loring, VA · On-site

$45 - $58/hr

... and utilization review meetings • Educate residents, families, and staff on therapy goals and plans • Maintain productivity and documentation standards • Support regulatory compliance and ...

Discovery Behavioral Health

Program Therapist

Mclean, VA · On-site

$78K - $88K/yr

Completes appropriate number of therapy sessions weekly for patients, including family/support ... Provides utilization reviews to insurance companies, providing appropriate clinical information to ...

Compass Health Center

Intake Therapist

Falls Church, VA · On-site

$40K - $45K/yr

Chart and communicate with our utilization review department regarding initial insurance authorizations * Facilitate group therapy and family therapy, as needed (e.g., when intake census is lower ...

New

QRM Health

Physical Therapist Assistant

Dunn Loring, VA

$28 - $37/hr

... utilization reviews * Instruct residents, families, and nursing staff on restorative or home programs as directed * Assist with maintaining the cleanliness and organization of therapy areas and ...

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Therapy Utilization Review information

See Washington salary details

$17

$36

$60

How much do therapy utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for therapy utilization review in Washington is $36.18, according to ZipRecruiter salary data. Most workers in this role earn between $25.34 and $46.01 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.

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

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

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

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

Therapy Utilization Review jobs near you
Infographic showing various Therapy Utilization Review job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 10% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $75,245 per year, or $36.2 per hour.

Physician Advisor Utilization Review(MD/DO)

Inova

Fairfax, VA • Hybrid

Part-time

Medical, Dental, Vision, PTO

Re-posted 28 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers

Job description

Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be a part-time position.


The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Inova hospital facilities. The Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients. The Advisor interfaces directly with UR nurses and medical staff, providing concurrent communication and education regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.


Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 


Featured Benefits:
      Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
       Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
         Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
         Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
          Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

MD Physician Advisor Additional Requirements:

  • Completion of an accredited residency training program
  • Active and unrestricted state Virginia medical license
  • Board certification in specialty required at time of hire
  • Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions 
  • Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments 
  • Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable   
  • Familiarity with (Hospital) organization and case management operations    
  • Excellent customer service and interpersonal skills
  • Able to effectively present information, both formal and informal
  • Superb written and verbal communications skills
  • Ability to set and manage priorities
  • Demonstrate flexibility, teamwork, and a collaborative leadership style
  • Strong technical/computer

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