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Weekend Occupational Therapy Utilization Review Jobs in Georgia

Conflux Systems

Occupational Therapist

Cumming, GA · On-site

$37.50 - $49.25/hr

Variable schedule * 8:00 AM - 4:30 PM * 4 weekend shifts every 4 weeks * One summer holiday required Experience: * Acute Care Occupational Therapy: 2 years (Required) License/Certification: * Georgia ...

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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 Mgmt Coord - Behavioral Health

Piedmont Healthcare Inc.

Snellville, GA • On-site

Full-time

Re-posted 23 hours ago

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 468 frontline employees who took The Breakroom Quiz

380th of 898 rated healthcare providers

Job description

Overview
The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.
Responsibilities
The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.
Qualifications
Education
  • Bachelor's Degree from an accredited nursing school, B.A/ B.S or Required or
  • Bachelor's Degree in Social Work Required or
  • Master's degree Preferred
Work Experience
  • 2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
  • Previous experience with InterQual and/or MCG guidelines Required
  • Previous experience in Utilization Management and/or Appeals Required
  • Previous Epic experience or Meditech/MIDAS experience Required
  • Previous experience in prior authorization process Required
  • Utilization Review or Care Management experience Preferred
Licenses and Certifications
  • Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Required or
  • LPC/LMFT also acceptable Required
Additional Licenses and Certifications
  • Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred

Business Unit : Company Name
Piedmont Healthcare Corporate

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