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Utilization Review Physical Therapist Jobs (NOW HIRING)

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

Parkside Hospital

Utilization Review Specialist

Tulsa, OK

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

... physical therapy, cardiac rehabilitation, or nutritional service) • Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

Uoflhealth

RN Utilization Review

Louisville, KY

... i.e. physical therapy, cardiac rehabilitation, or nutritional service) Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

UofL Health

RN Utilization Review

Louisville, KY · On-site

... physical therapy, cardiac rehabilitation, or nutritional service) • Supports the utilization review program by maintaining effective and efficient processes for determining the appropriate ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint ...

Lifepoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments ... Patients receive 24/7 medically supervised care, evidence-based therapy, medication management, and ...

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All JobsUtilization Review Physical Therapist Jobs

Utilization Review Physical Therapist information

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

As of Aug 16, 2026, the average weekly pay for utilization review 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 are the key skills and qualifications needed to thrive as a utilization review physical therapist?

To thrive as a Utilization Review Physical Therapist, you need a valid physical therapy license, strong clinical knowledge, and experience in patient care management. Familiarity with medical review software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Critical thinking, attention to detail, and effective written communication are standout soft skills for this role. These competencies ensure accurate case evaluations, regulatory compliance, and clear justification of physical therapy services to payers.

What does a utilization review physical therapist do?

A utilization review physical therapist handles the medical records for patients to ensure treatments are documented and processed correctly. They are licensed PTs who choose to move into the administrative side of therapy. As a utilization review physical therapist, your job duties are to review health records for accuracy and appropriateness, obtain precertification and authorization, contact insurance companies about coverage, check that the prescribed care is completed, and prepare documents for processing. You collaborate with clinical managers, physicians, and billing coders to ensure compliance with timelines and regulation. Utilization review physical therapists may work remotely or within a medical facility.

What are some typical challenges faced by utilization review physical therapists, and how can they be addressed?

Utilization Review Physical Therapists often encounter challenges such as balancing clinical judgment with insurance guidelines, managing a high volume of case reviews, and communicating complex decisions to providers and patients. Staying updated on payer policies and evidence-based guidelines is crucial to making informed recommendations. Building strong communication skills and collaborating effectively with multidisciplinary teams can help resolve discrepancies and ensure quality patient care while meeting regulatory requirements.

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

AspectUtilization Review Physical TherapistPhysical Therapist
CredentialsLicensed Physical Therapist, often with additional certification in utilization review or case managementLicensed Physical Therapist, with state licensure and possibly specialty certifications
Work EnvironmentUtilization review departments, insurance companies, healthcare administrationHospitals, clinics, outpatient facilities, private practices
Primary ResponsibilitiesReviewing medical necessity, authorizing treatments, ensuring compliance with insurance policiesProviding patient care, developing treatment plans, rehabilitating patients

While both roles require a licensed Physical Therapist, the Utilization Review Physical Therapist focuses on evaluating medical necessity and managing insurance authorizations, often working in administrative settings. In contrast, a Physical Therapist primarily provides direct patient care in clinical environments.

What does a utilization review physical therapist do?

A Utilization Review Physical Therapist evaluates medical records and treatment plans to ensure that the care provided is medically necessary and meets insurance guidelines. They do not provide direct patient care but instead review documentation to determine if therapy services are appropriate and justified. Their work helps manage healthcare costs and ensures patients receive evidence-based treatments. They often collaborate with healthcare providers, insurance companies, and case managers to make recommendations or decisions on coverage and length of care.
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Utilization Review Physical Therapist jobs near you
Infographic showing various Utilization Review Physical Therapist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $96,695 per year, or $46.5 per hour.

Utilization Review Clinician

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

495th of 887 rated healthcare providers

Job description

Responsibilities
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
  • Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
  • Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
  • Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefit Highlights
  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION AND EXPERIENCE
Masters level education in social science field (social work, counseling, sociology, psychology).
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)
Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)
Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.
CERTIFICATIONS, LICENSES, REGISTRATION
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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