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Weekend Occupational Therapy Utilization Review Jobs in Michigan

UHS

Manager of Utilization Review

Saint Johns, MI · On-site

... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...

UHS

Manager of Utilization Review

Saint Johns, MI · On-site

... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...

UHS

Manager of Utilization Review

Saint Johns, MI

... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...

UHS

Manager of Utilization Review

Saint Johns, MI

... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...

UHS

Manager of Utilization Review

Saint Johns, MI

... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...

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

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 Michigan?

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

Weekend Occupational Therapy Utilization Review jobs near you

Director of Utilization Review

Detroit, MI • On-site

Acadia Healthcare
Hospitals • 10K+ employees

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

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Learn more about Acadia Healthcareexternal

Full-time

Posted 13 days ago

Job description

Join StoneCrest Center, a 182-bed behavioral health hospital in Detroit, Michigan, dedicated to providing compassionate, evidence-based psychiatric care for adolescents, adults, and seniors. StoneCrest offers comprehensive inpatient treatment for a wide range of mental health and co-occurring substance use disorders, with specialized programming for adolescents, older adults, and individuals requiring acute crisis stabilization. The hospital's multidisciplinary approach includes psychiatry, nursing, case management, family therapy, recreational therapy, and other therapeutic services designed to help patients achieve lasting recovery and improved quality of life. 

As the Director of Utilization Review, you will play a critical leadership role in ensuring the delivery of high-quality, medically necessary behavioral healthcare while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a mission-driven organization where clinical excellence, collaboration, and patient-centered care are at the heart of everything we do.

PURPOSE STATEMENT: 

Direct and manage the day-to-day operations of the Utilization Review department. 


ESSENTIAL FUNCTIONS: 

  • Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.   
  • Conducts and oversees concurrent and retrospective reviews for all patients.   
  • Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.   
  • Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.   
  • Collaborates with ancillary services in order to prevent delays in services.   
  • Evaluates the UM program for compliance with regulations, policies and procedures. 
  • May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.   
  • Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.  
  • Six or more year's clinical experience with the population of the facility preferred. 
  • Four or more years’ experience in utilization management required. 
  • Three or more years of supervisoryexperience required. 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

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