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Utilization Review Ot Jobs (NOW HIRING)

... OT) or Speech Therapy (SLP) with home health experience and a strong understanding of state ... Participate in case conferences, utilization review meetings, and interdisciplinary team meetings ...

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 ...

Occupational Therapist

Nampa, ID ยท 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 ...

Occupational Therapist

Nampa, ID ยท 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 ...

Sr. Project Manager

Englewood, CO ยท Hybrid

$130K - $160K/yr

... Atlas OT's portfolio of offerings. You will own project execution strategy, resource planning ... Manage utilization targets across project managers, engineers, and field staff. * Business ...

Occupational Therapist (OT)

Crest, CA ยท On-site

$50 - $60/hr

Occupational Therapist (OT) - Bridge Crest Post Acute Compensation: $50-$60/hour (DOE) Bridge Crest ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

Occupational Therapist

Orofino, ID ยท On-site

$37.75 - $49.75/hr

Also, the OT will establish and administer a treatment program with specific goals determined ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Occupational Therapist

Lewiston, ID ยท On-site

$40.25 - $53/hr

Also, the OT will establish and administer a treatment program with specific goals determined ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Occupational Therapist

Orofino, ID ยท On-site

$37.75 - $49.75/hr

Also, the OT will establish and administer a treatment program with specific goals determined ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Occupational Therapist

Orofino, ID ยท On-site

$37.75 - $49.75/hr

Also, the OT will establish and administer a treatment program with specific goals determined ... Contribute to facility patient care, utilization review, case management, administrative staff ...

Occupational Therapist

Lewiston, ID ยท On-site

$40.25 - $53/hr

Also, the OT will establish and administer a treatment program with specific goals determined ... Contribute to facility patient care, utilization review, case management, administrative staff ...

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Utilization Review Ot information

See salary details

$15

$31

$53

How much do utilization review ot jobs pay per hour?

As of Jul 16, 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:
Infographic showing various Utilization Review Ot job openings in the United States as of July 2026, with employment types broken down into 4% As Needed, 64% Full Time, 19% Part Time, 1% Temporary, 11% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
Clinical Support Specialist

Clinical Support Specialist

Marquis Home Care

Albany, NY โ€ข On-site

$78K/yr

Full-time

Posted 14 days ago


Job description

Clinical Support Specialist

Organization: Marquis Certified Home Health Agency (CHHA)
Department: Clinical Operations
Reports To: Director of Patient Services
FLSA Status: Exempt

Position Summary

The Clinical Support Specialist serves as a clinical resource and operational support partner for Marquis CHHA, providing expertise to ensure the delivery of high-quality, compliant, patient-centered home health services. This position supports clinicians and leadership through clinical oversight, workflow processing, quality assurance activities, staff education, documentation review, regulatory compliance monitoring, and process improvement initiatives. Youโ€™ll be the โ€˜in-box ninjaโ€™ of the organization, ensuring that everything that comes after the visit is smooth and seamless.

The Clinical Support Specialist must be a licensed Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT) or Speech Therapy (SLP) with home health experience and a strong understanding of state, federal, and CHHA regulations and standards.

Essential Duties and Responsibilities

Clinical Support & Oversight

  • Serve as a clinical resource to field clinicians regarding patient care, agency policies, documentation requirements, and best practices.

  • Assist with clinical case reviews to ensure patients receive appropriate, safe, and effective care.

  • Collaborate with interdisciplinary team members to promote coordination of care and positive patient outcomes.

  • Provide guidance regarding patient assessments, plan of care development, and appropriate service utilization.

  • Support clinicians in identifying and addressing complex patient needs.

Quality Assurance & Compliance

  • Conduct reviews of clinical documentation for accuracy, completeness, reimbursement integrity, and regulatory compliance.

  • Monitor compliance with Medicare Conditions of Participation, New York State Department of Health regulations, and accrediting organization standards.

  • Assist with quality improvement initiatives and performance improvement projects.

  • Participate in audits, surveys, and corrective action plans as needed.

  • Identify documentation trends and recommend educational or process improvement interventions.

Education & Staff Development

  • Assist with onboarding and orientation of new clinical staff.

  • Develop and provide ongoing education related to regulatory changes, clinical best practices, agency policies, and documentation standards.

  • Support competency assessment and skills validation activities.

  • Mentor clinicians to promote clinical excellence and professional development.

Operational Support

  • Support leadership in achieving agency quality, compliance, and performance goals.

  • Assist with workflow management and clinical operations as assigned.

  • Participate in case conferences, utilization review meetings, and interdisciplinary team meetings.

  • Assist with implementation of new programs, technologies, and operational initiatives.

  • Monitor and support timely completion of physician orders, care plans, and clinical documentation.

Patient Care Support

  • Provide direct patient care visits as needed based on agency operational needs and professional licensure.

  • Assist with patient care transitions and care coordination activities.

  • Support efforts to reduce hospitalizations, improve patient outcomes, and enhance patient satisfaction.

Qualifications

Education

  • Graduate of an accredited nursing, physical therapy, speech language therapy or occupational therapy program.

Licensure

  • Current and unrestricted New York State license as one of the following:

  • Registered Nurse (RN)

  • Physical Therapist (PT)

  • Occupational Therapist (OT)

  • Speech Language Pathologist (SLP)

Experience

  • Minimum of three (3) years of clinical experience in designated specialty; 1 or more years of experience in home health care preferred, but not required

  • Prior experience in quality assurance, clinical education, care management, utilization review, or supervisory roles preferred.

  • Strong knowledge or aptitude to learn Medicare home health regulations, OASIS requirements, and home health documentation standards is preferred

Knowledge, Skills, and Abilities

  • Thorough understanding of home health regulations, compliance requirements, and standards of practice

  • Strong clinical assessment and critical thinking skills

  • Ability to review and evaluate clinical documentation for quality and regulatory compliance

  • Excellent communication, coaching, and interpersonal skills

  • Ability to educate and mentor clinical staff

  • Strong organizational and time management abilities

  • Proficiency with electronic medical records (EMR) systems and Microsoft Office applications

  • Ability to work independently while managing multiple priorities

Physical Requirements

  • Ability to travel throughout the agency service area as needed

  • Ability to sit, stand, walk, bend, and lift up to 25 pounds

  • Ability to use standard office equipment and technology

Working Conditions

  • Combination of office, remote, and field-based work environments

  • Travel to patient homes, agency locations, and meetings as required

  • May require occasional evening or weekend availability to meet operational needs

  • Will enter into a supervisory rotation of โ€˜on-callโ€™ coverage for weekends (roughly 1/6 weekends)

Marquis CHHA Commitment

Marquis CHHA is committed to delivering exceptional home health services through compassionate care, clinical excellence, regulatory compliance, and continuous quality improvement. The Clinical Support Specialist plays a key role in supporting our mission of helping patients safely remain in their homes while achieving the highest possible level of health and independence.

Marquis CHHA is an Equal Opportunity Employer.