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Utilization Review Therapist Jobs in Decatur, GA

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Utilization Review Therapist information

See Decatur, GA salary details

$15

$31

$52

How much do utilization review therapist jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for utilization review therapist in Decatur, GA is $31.18, according to ZipRecruiter salary data. Most workers in this role earn between $21.83 and $39.66 per hour, depending on experience, location, and employer.

What is a Utilization Review Therapist job?

A Utilization Review (UR) Therapist evaluates the medical necessity, appropriateness, and efficiency of mental health or substance use treatments. They review patient records, collaborate with providers, and ensure that care meets insurance requirements and clinical guidelines. Their goal is to balance quality patient care with cost-effective treatment, often working closely with insurance companies and healthcare teams to approve or appeal coverage decisions.

What are the typical daily responsibilities of a Utilization Review Therapist?

As a Utilization Review Therapist, your daily duties often include reviewing clinical documentation, determining the medical necessity of treatments, and coordinating with healthcare providers to ensure appropriate levels of care. You will interact frequently with insurance companies to facilitate authorizations and manage denials or appeals. Collaboration with other clinical staff is common, as you gather information and advocate for patient care. Occasionally, you may participate in interdisciplinary meetings or provide education on documentation standards and payer requirements.

What are the key skills and qualifications needed to thrive in the Utilization Review Therapist position, and why are they important?

To thrive as a Utilization Review Therapist, you need strong clinical assessment skills, a background in behavioral health or social work, and a relevant license such as LCSW, LMFT, or LPC. Familiarity with insurance guidelines, electronic medical record (EMR) systems, and utilization management software is often required. Excellent critical thinking, organization, and communication skills help you succeed in this role. These competencies ensure accurate treatment evaluations, compliance with regulations, and effective collaboration across clinical and administrative teams.

What job categories do people searching Utilization Review Therapist jobs in Decatur, GA look for? The top searched job categories for Utilization Review Therapist jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Utilization Review Therapist jobs? Cities near Decatur, GA with the most Utilization Review Therapist job openings:
Occupational Therapy Assistant Senior Living

Occupational Therapy Assistant Senior Living

Reliant Rehabilitation

Kennesaw, GA • On-site

$26.25 - $35/hr

Other

Posted 13 days ago


Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

667th of 877 rated healthcare providers


Job description

Overview

#LI-NB1

*This role is based in an Assisted Living, Independent Living, and Memory Care setting.

Summary: 

Provide Occupational Therapy and related services for patients under the direction of a licensed Occupational Therapist (OT) while maintaining positive levels of interaction with communities  and clients in accordance with the principles and practices of occupational therapy and within Reliant Rehabilitation guidelines.  Provide quality patient care including: ongoing treatment per a plan of care, supervision of Rehab Techs (where required), and case management responsibilities.  Maintain professional conduct that represents Reliant Rehabilitation's commitment to quality and service in all interactions with clients, including positive levels of interaction and rapport with communities  and clients.  Adhere to all state and federal regulations regarding occupational therapy.

Responsibilities

Essential Duties and Responsibilities:

  • Under the direction of the licensed occupational therapist, optimize the functional abilities and skills of patients in communities by:
  • assist in screening and providing input to initial evaluation of all patients as appropriate
  • implement treatment for all assigned patients;
  • comply with state and federal guidelines regarding accurate and timely billing and documentation.
  • establish and maintain effective interactions with patient, interdisciplinary team, and other clientele which reflects patient-centered care.
    • Provide direct supervision to rehab techs in tasks during group and individual treatment in a manner that promotes appropriate utilization of resources and enhances quality of patient in accordance with state practice acts, federal regulations, and Reliant Rehabilitation.
    • Build a strong occupational therapy assistant program by participating in the following activates:
  • actively integrating occupational therapy's role into community and interdisciplinary treatment plan;
  • contributing to community patient care, utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the OT;
  • establishing and maintaining a good working relationship with other health care professionals and colleagues in the community;
  • making appropriate referrals to other members of the rehabilitation team;
  • maintaining awareness of changes in patient population, patient conditions, and programs, and keeping the licensed or registered occupational therapist informed directly, and in a timely manner, of patient progress and community issues;
  • adhering to established community policies and procedures related to environmental safety, orderliness, risk management, infection control, and emergency preparedness situations; and
  • adhering to the requirements of the patient's rights and privacy.
    • Enhance clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities.
    • Maintain valid state license (where appropriate). Maintain awareness of issues related to the profession of occupational therapy and the health care environment.
    • Understands various relevant payment models related to billing and treatment guidelines, as well as clinically appropriate means/modes of delivery. Provide quality care as well as reasonable goals and outcomes within the guidelines.
    • Be compliant with infection control procedures and environmental safety protocol within a community.
    • This position requires patient lifting using appropriate biomechanical techniques frequently throughout the course of a workday/shift. Must be capable of lifting fifty (50) pounds of dead weight alone.
    • Maintain confidentiality of Reliant Rehabilitation, community, and patient information.
    • Must conduct self in an ethical, legal, and responsible manner at all times.
    • Must adhere to the policies, principles, and guidance within the Team Member Handbook and Code of Business Conduct.
    • Must be able to travel between communities during scheduled hours.
    • Must be able to work varying hours and shifts, including weekends and holidays.
    • Attends all mandatory meetings, trainings, and assignments as delegated.
    • Perform other duties and responsibilities as assigned
    Qualifications

    Competency:

    Prior to beginning patient care for Reliant Rehabilitation, a peer OT may complete a Competency Checklist.

    To perform the job successfully, an individual should demonstrate the following competencies:

    • Effective clinical problem-solving skills to include but not limited to: identify and prioritize issues in a responsive manner, develop sound and innovative action plans, execute action plans on a timely basis, and ensure appropriate results
    • Be a strong team player
    • Strong verbal and written communication skills
    • Ability to build strong relationships with a diverse population
    • Ability to read, write, speak, and comprehend in English: instructions, correspondence, charts, memos, and reports
    • Ability to work in a fast-paced, productive work environment

    Education/Experience:

    • Graduate of an ACOTE accredited school of occupational therapy.
    Employment Type: OTHER

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