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Weekend Occupational Therapy Utilization Review Jobs in Georgia

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...

UHS

Utilization Review Clinician

Augusta, GA

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...

UHS

Utilization Review Nurse (RN)

Augusta, GA

Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website ... Collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data ...

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All JobsOccupational Therapy Utilization Review JobsWeekend Occupational Therapy Utilization Review JobsWeekend Occupational Therapy Utilization Review Jobs in Georgia

Weekend Occupational Therapy Utilization Review information

What is a Weekend Occupational Therapy Utilization Review?

A Weekend Occupational Therapy Utilization Review is a specialized role where occupational therapists or clinicians review patient cases and treatment plans over the weekend to ensure that therapy services are medically necessary, efficient, and compliant with insurance or regulatory standards. The primary goal is to assess the appropriateness of ongoing occupational therapy services, provide recommendations, and support discharge planning or continued care decisions. These reviews help healthcare facilities optimize resource use and maintain high-quality patient care, even outside traditional weekday hours.

What are the key skills and qualifications needed to thrive as a Weekend Occupational Therapy Utilization Review specialist?

To thrive as a Weekend Occupational Therapy Utilization Review specialist, you need a valid occupational therapy license, a strong understanding of clinical guidelines, and experience in utilization management. Familiarity with medical review software, electronic health records (EHRs), and knowledge of insurance policies and coding systems (like ICD-10 and CPT) are typically required. Excellent analytical, communication, and time-management skills help you provide clear recommendations and manage cases efficiently, especially in a remote or fast-paced environment. These skills ensure accurate, timely reviews that support patient care quality and compliance with payer requirements.

What are some common challenges faced in a Weekend Occupational Therapy Utilization Review role and how can they be managed?

One of the main challenges in a Weekend Occupational Therapy Utilization Review role is the need to make timely, evidence-based decisions with potentially limited direct access to providers or full records, as some staff may not be available on weekends. Navigating time constraints while ensuring compliance with insurance and regulatory guidelines requires strong organizational and communication skills. To manage these challenges, it's important to establish clear communication channels with weekday staff, maintain thorough documentation, and stay updated on relevant clinical criteria and payer policies. Proactive collaboration and adaptability help ensure a smooth workflow and high-quality patient care, even outside of typical business hours.

What is the difference between Weekend Occupational Therapy Utilization Review vs Weekend Occupational Therapy Case Manager?

AspectWeekend Occupational Therapy Utilization ReviewWeekend Occupational Therapy Case Manager
Primary RoleReview and approve occupational therapy services for insurance or healthcare providersCoordinate and manage occupational therapy services for patients, including planning and communication
CredentialsOccupational therapy license, possibly certification in utilization reviewOccupational therapy license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizationsHospitals, clinics, or outpatient facilities
FocusReviewing service necessity and compliancePatient care coordination and service management

Weekend Occupational Therapy Utilization Review primarily involves evaluating the necessity of therapy services, while Weekend Occupational Therapy Case Managers focus on coordinating and managing patient care. Both roles require occupational therapy credentials but differ in responsibilities and work settings.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Georgia?

The most popular types of Occupational Therapy Utilization Review jobs in Georgia are:

What cities in Georgia are hiring for Weekend Occupational Therapy Utilization Review jobs?

Cities in Georgia with the most Weekend Occupational Therapy Utilization Review job openings:

Weekend Occupational Therapy Utilization Review jobs near you
Infographic showing various Weekend Occupational Therapy Utilization Review job openings in Georgia as of August 2026, with employment types broken down into 33% As Needed, and 67% Full Time. Highlights an 67% In-person, and 33% Remote job distribution.

Utilization Review Clinician

Wellington Regional Medical Center

Augusta, GA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Job description

Utilization Review Clinician Opportunity

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.

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 include reviewing clinical content of medical records, participating in treatment team meetings, and collaborating with physicians, therapists, 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 include a 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, and career development opportunities within UHS and its 300+ subsidiaries!

Qualifications include a 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. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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