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Utilization Review Ot Jobs (NOW HIRING)

Pacs

OT Occupational Therapist PRN

Bakersfield, CA

$60 - $65/hr

Occupational Therapist (OT) - PRN Bakersfield Post Acute Location: Bakersfield, CA Pay Range: $60 ... Participate in care conferences, utilization review meetings, and rehab meetings as needed

PACS

OT Occupational Therapist PRN

Bakersfield, CA · On-site

$60 - $65/hr

Occupational Therapist (OT) - PRN Bakersfield Post Acute Location: Bakersfield, CA Pay Range: $60 ... Participate in care conferences, utilization review meetings, and rehab meetings as needed

PACS

Occupational Therapist-OT Full-Time

Modesto, CA · On-site

$55 - $60/hr

Occupational Therapist (OT) - Full-Time Garden City Health Care Center Location: Modesto, CA Pay ... Participate in patient care conferences, utilization review meetings, and rehab conferences as ...

Superbeo

RN-Case Manager

Cambridge, MA · On-site

Daily OT after 24 hours [Based on multiplier] Weekly OT after 40 hours [Based on multiplier]OnCall ... Primary Responsibilities: 1. Performs utilization review and discharge planning to inpatient ...

Ahoskie Health and Rehab

Occupational Therapist

Ahoskie, NC · On-site

$37.75 - $49.50/hr

... and utilization review meetings • Educate residents, families, and staff on therapy goals and ... OT) • Current state licensure in OT • Long-term care experience preferred • Strong ...

Nampa West of Cascadia, LLC

Occupational Therapist

Nampa, ID · On-site

$35.75 - $47.25/hr

An Occupational Therapist (OT) is responsible for the assessment of referred patients that require ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Nampa West of Cascadia, LLC

Occupational Therapist

Nampa, ID

$35.75 - $47.25/hr

An Occupational Therapist (OT) is responsible for the assessment of referred patients that require ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Nampa West of Cascadia, LLC

Occupational Therapist

Nampa, ID · On-site

$35.75 - $47.25/hr

An Occupational Therapist (OT) is responsible for the assessment of referred patients that require ... Contribute to facility patient care, utilization review, case management, administrative staff ...

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All JobsUtilization Review Ot Jobs

Utilization Review Ot information

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$15

$31

$53

How much do utilization review ot jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for utilization review ot 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 Utilization Review Ot vs Physical Therapist?

AspectUtilization Review OtPhysical Therapist
CredentialsOccupational Therapy license, certification in utilization review (e.g., URAC)Physical Therapy license, Doctor of Physical Therapy (DPT)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, clinics, outpatient centers, private practices
Primary FocusAssessing medical necessity, reviewing treatment plans for insurance approvalProviding therapeutic interventions to improve mobility and function

Utilization Review Ot and Physical Therapists both require healthcare licenses, but their roles differ. Utilization Review OTs focus on evaluating treatment necessity for insurance purposes, while Physical Therapists deliver direct patient care. Their work environments and daily tasks reflect these differences, with utilization review emphasizing administrative review and physical therapy emphasizing patient rehabilitation.

More about Utilization Review Ot jobs
What cities are hiring for Utilization Review Ot jobs? Cities with the most Utilization Review Ot job openings:
What states have the most Utilization Review Ot jobs? States with the most job openings for Utilization Review Ot jobs include:
What job categories do people searching Utilization Review Ot jobs look for? The top searched job categories for Utilization Review Ot jobs are:
Utilization Review Ot jobs near you
Infographic showing various Utilization Review Ot job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 44% Full Time, 13% Part Time, 6% Temporary, and 35% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
Utilization Review Clinician (RN, OT, or PT) - Remote

Utilization Review Clinician (RN, OT, or PT) - Remote

WellSky

Overland Park, KS • Remote

$2.5K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

WellSky rating

7.5

Company rating: 7.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

123rd of 191 rated software companies

Job description

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge follow-ups with completed assessments to help prevent acute care readmissions.

In this role, you will also review requests for post-acute services promptly, using established clinical guidelines and coverage criteria to assess appropriateness. You'll collaborate with physicians, healthcare providers, and both internal and external stakeholders to support improved health outcomes. By applying clinical expertise, you'll coordinate care with facilities and providers, follow standard operating procedures and organizational policies, and consult with peer reviewers, Medical Directors, or delegated clinical reviewers to ensure care is medically appropriate, high-quality, and cost-effective throughout the medical management process.

The ideal candidate will have working knowledge of Microsoft Office applications (e.g., Word, Excel) and be comfortable using clinical decision support tools and operational software.

Join us in shaping the future of healthcare - apply today!

Key Responsibilities:

  • Conduct prior authorization reviews and/or continued stay reviews for post-acute care services by applying clinical guidelines and escalating cases to medical directors as needed

  • Approve services in compliance with health plan guidelines, contractual agreements, and medical necessity criteria

  • Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions

  • Participate in team meetings, educational activities, and interrater reliability testing to maintain review consistency and professional growth

  • Ensure compliance with federal, state, and accreditation standards, and identify opportunities to enhance communication or processes

  • Support all payer programs and initiatives related to the post-acute space

  • Make benefit determinations about appropriate levels of care using clinical guidelines

  • Coordinate benefits and transitions between various areas of care

  • Utilize knowledge of resources available in the healthcare system to assist physicians and patients effectively

  • Perform other job duties as assigned

Required Qualifications:

  • Bachelor's degree or equivalent work experience

  • 4-6 years of clinical nursing or therapy experience

  • Active RN, OT, or PT license

Preferred Qualifications:

  • 1-2 years' experience in utilization review, case management and/or managed care regulations

  • Experience with MCG Guidelines, InterQual or other clinical decision support tools, especially inutilization managementandprior authorizationprocesses

Job Expectations:

  • Willing to travel up to 30% based on business needs

  • Willing to work additional or irregular hours as needed

  • Must work in accordance with applicable security policies and procedures to safeguard company and client information

  • Must be able to sit and view a computer screen for extended periods of time

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

  • Excellent medical with Rx, dental, and vision benefits

  • Mental Health support through EAP

  • Generous paid time off, plus 13 paid holidays

  • 100% vested 401(K) retirement plans

  • Educational assistance up to $2500 per year

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