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Utilization Management Physical Therapist Jobs (NOW HIRING)

University Health

Physical Therapist

San Antonio, TX · On-site

$1.5K - $1.9K/wk

POSITION SUMMARY/RESPONSIBILITIES Performs utilization management activities involving the review ... Reviews authorization requests and clinical documentation for physical therapy and related ...

University Health

Physical Therapist

San Antonio, TX · On-site

$1.5K - $1.9K/wk

POSITION SUMMARY/RESPONSIBILITIES Performs utilization management activities involving the review ... Reviews authorization requests and clinical documentation for physical therapy and related ...

Centene Management Company LLC

NY · On-site

$125 - $150/hr

Applicants must one of the following active clinical licenses: LCSW, LMHC, LPC, LMFT, LMHP, or RN. ... Strong knowledge of utilization management principles preferred. Advanced understanding of medical ...

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IntePros

Utilization Management RN

Philadelphia, PA · On-site

PA RN License Required We are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine ...

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Utilization Management Physical Therapist information

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$1.1K

$1.9K

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How much do utilization management physical therapist jobs pay per week?

As of Sep 9, 2026, the average weekly pay for utilization management physical therapist in the United States is $1,859.52, according to ZipRecruiter salary data. Most workers in this role earn between $1,596.15 and $2,067.31 per week, depending on experience, location, and employer.

What does a utilization management physical therapist do?

A Utilization Management Physical Therapist reviews patient cases and medical records to ensure that physical therapy services are medically necessary, appropriate, and efficient. They assess treatment plans, collaborate with healthcare providers, and make recommendations based on clinical guidelines and insurance requirements. Their role helps to ensure patients receive the right care while optimizing healthcare resources and costs.

What are the key skills and qualifications needed to thrive as a utilization management physical therapist?

To thrive as a Utilization Management Physical Therapist, you need an active physical therapy license, strong clinical expertise, and a thorough understanding of medical necessity criteria. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are typically required. Excellent analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with healthcare teams and advocating for appropriate care. These competencies ensure accurate reviews, compliance with regulations, and optimal patient outcomes within healthcare systems.

What are some typical challenges utilization management physical therapists face when transitioning from direct patient care to a review-focused role?

Utilization Management Physical Therapists often find the shift from hands-on clinical care to a desk-based, review-oriented position challenging. Adapting to a greater emphasis on documentation, policy interpretation, and consistent communication with providers can require new organizational and analytical skills. Additionally, the role may involve handling high caseloads, tight deadlines, and balancing the needs of patients with payer requirements. However, many therapists find satisfaction in advocating for appropriate care and contributing to quality improvement from a broader, system-wide perspective.

What is the difference between Utilization Management Physical Therapist vs Physical Therapist?

AspectUtilization Management Physical TherapistPhysical Therapist
CredentialsLicensed Physical Therapist, possibly with additional certifications in utilization reviewLicensed Physical Therapist
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsHospitals, clinics, outpatient facilities
Employer & IndustryInsurance providers, healthcare management firmsHospitals, outpatient clinics, rehab centers

The main difference is that Utilization Management Physical Therapists focus on reviewing and approving treatment plans for insurance coverage, while Physical Therapists provide direct patient care. Both roles require licensure, but their work environments and responsibilities differ significantly.

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What cities are hiring for Utilization Management Physical Therapist jobs?

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What are popular job titles related to Utilization Management Physical Therapist jobs?

For Utilization Management Physical Therapist jobs, the most frequently searched job titles are:

Utilization Management Physical Therapist jobs near you
Infographic showing various Utilization Management Physical Therapist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $96,695 per year, or $46.5 per hour.

Physical Therapist

San Antonio, TX • On-site

University Health
See more jobs at University Healthexternal

$1.5K - $1.9K/wk

Full-time

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

University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

90th of 898 rated healthcare providers

Job description

POSITION SUMMARY/RESPONSIBILITIES

Performs utilization management activities involving the review and evaluation of rehabilitation and therapy services to determine medical necessity, appropriateness of care, level of care, and compliance with established clinical criteria, regulatory requirements, and organizational policies. Reviews authorization requests and clinical documentation for physical therapy and related rehabilitative services. Collaborates with providers, Medical Directors, Care Management, Case Management, and interdisciplinary teams to promote quality outcomes, appropriate resource utilization, member safety, and regulatory compliance. Applies clinical expertise in physical therapy to support utilization review, prior authorization, concurrent review, retrospective review, appeals support, and quality improvement initiatives. Ensures reviews are completed within established turnaround times and in accordance with NCQA, URAC, CMS, state, federal, and contractual requirements.

EDUCATION/EXPERIENCE
Graduate of an accredited Physical Therapy program with a Bachelor's, Master's, or Doctor of Physical Therapy (DPT) degree. Minimum two (2) years of clinical physical therapy experience required.

Preferred:

•  Utilization Management experience
•  Managed Care or Health Plan experience
•  Prior Authorization Review experience
•  Case Management experience
•  Medicaid and Medicare program knowledge
•  NCQA or URAC accreditation environment experience

Demonstrated knowledge of medical necessity criteria, evidence-based practice guidelines, rehabilitation services, and healthcare delivery systems preferred.

LICENSURE

Current unrestricted licensure as a Physical Therapist in the State of Texas required.
Must maintain all professional licensure and continuing education requirements necessary for active licensure.
 

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