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Therapy Utilization Review Jobs (NOW HIRING)

... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Patients receive 24/7 medically supervised care, evidence-based therapy, medication management, and ...

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UTILIZATION REVIEW SPECIALIST

Fresno, CA ยท On-site

$101K - $128K/yr

... Utilization Review Specialist . Incumbents provide professional services including: regulatory ... and Family Therapist, or Registered Nurse. Licenses : Valid State of California license as a ...

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a ... Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health ...

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a ... Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health ...

... activity therapy serve hundreds of adults and adolescents each month with the common goal of ... Minimum of two years psychiatric experience in chart analysis and in the utilization review field.

... activity therapy serve hundreds of adults and adolescents each month with the common goal of ... Minimum of two years psychiatric experience in chart analysis and in the utilization review field.

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Therapy Utilization Review information

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$15

$31

$53

How much do therapy utilization review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for therapy utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

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 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 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, and why are they important?

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.
More about Therapy Utilization Review jobs
What cities are hiring for Therapy Utilization Review jobs? Cities with the most Therapy Utilization Review job openings:
What states have the most Therapy Utilization Review jobs? States with the most job openings for Therapy Utilization Review jobs include:
Infographic showing various Therapy Utilization Review job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Coordinator

Freemanhealth

Inglewood, CA โ€ข On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 19 hours ago


Job description

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule | Full - Time

9:30 AM - 6:00 PM

Onsite

What You'll Do

Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge needs which may prevent them from returning to their current environment. Will provide hospital wide Utilization Review and Case Management coverage as needed and time allows.

Requirements:

Current Missouri Registered Nurse, Respiratory Therapist or LPN.

If LPN, current Missouri Practical Nurse license or current Practical Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.
If RN, current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.

Preferred Requirements

3-5 years of total nursing experience preferred.

Freeman Perks and Programs

  • For eligible full-time and part-time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!

  • Health, vision, dental insurance

  • Retirement with employer match

  • Wellness program with discounts to Health Insurance or Cash Bonus with Participation

  • Milestone payments with longevity of employment

  • Paid time off(PTO)

  • Extended Sick pay

  • Disability pay

  • Learning Center designated only for Freeman Family members

  • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

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