$80K - $90K/yr
They also provide tele-services, such as physical therapy consultation calls, to patients remotely ... Clinical Review * Initiates review for requested service upon system referral (or referral from non ...
$80K - $90K/yr
They also provide tele-services, such as physical therapy consultation calls, to patients remotely ... Clinical Review * Initiates review for requested service upon system referral (or referral from non ...
Master's in physical or occupational therapy OR Master's in psychology, counseling, or social work ... Clinical documentation review expertise, including use of the Oregon Health Plan Prioritized List ...
Master's in physical or occupational therapy OR Master's in psychology, counseling, or social work ... Clinical documentation review expertise, including use of the Oregon Health Plan Prioritized List ...
Clinical Reviewer, OT
$95K - $105K/yr
Clinical Reviewer, OT We are looking for a licensed Occupational Therapist (OT) who has expertise in occupational therapy to deliver on Cohere's therapy programs by determining the medical ...
Clinical Reviewer, OT
$95K - $105K/yr
Clinical Reviewer, OT We are looking for a licensed Occupational Therapist (OT) who has expertise in occupational therapy to deliver on Cohere's therapy programs by determining the medical ...
Clinical Reviewer, DPT
$95K - $105K/yr
Clinical Reviewer, DPT Remote August 25, 2026 Remote Opportunity Overview ... We are looking for a Doctor of Physical Therapy (DPT) who has expertise in Physical Therapy to ...
Clinical Reviewer, DPT
$95K - $105K/yr
Clinical Reviewer, DPT Remote August 25, 2026 Remote Opportunity Overview ... We are looking for a Doctor of Physical Therapy (DPT) who has expertise in Physical Therapy to ...
Clinical Reviewer, DPT
$95K - $105K/yr
Clinical Reviewer, DPT United States Opportunity Overview ... We are looking for a Doctor of Physical Therapy (DPT) who has expertise in Physical Therapy to ...
Clinical Reviewer, DPT
$95K - $105K/yr
Clinical Reviewer, DPT United States Opportunity Overview ... We are looking for a Doctor of Physical Therapy (DPT) who has expertise in Physical Therapy to ...
Clinical Reviewer (PT or OT-Licensed)
$60K - $81K/yr
Comagine Health is seeking remote Clinical Reviewers (Licensed Physical Therapist or Occupational Therapist) to support workers' compensation reviews, with one full-time opening and one PRN/part-time ...
Clinical Reviewer (PT or OT-Licensed)
$60K - $81K/yr
Comagine Health is seeking remote Clinical Reviewers (Licensed Physical Therapist or Occupational Therapist) to support workers' compensation reviews, with one full-time opening and one PRN/part-time ...
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
$91K - $119K/yr
Clinical Reviewers work from an electronic review queue to evaluate therapy authorization requests and supporting medical records for medical necessity and appropriateness. They apply workers ...
$91K - $119K/yr
Clinical Reviewers work from an electronic review queue to evaluate therapy authorization requests and supporting medical records for medical necessity and appropriateness. They apply workers ...
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Prior Authorization Clinical Reviewer
$26.01 - $74.78/hr
... review of physical and behavioral health related services. * Utilization of clinical skills to ... Ability to work 8-hour shifts, 5-days per week, with rotating days (including some weekends ...
New
Weekend Therapy Clinical Reviewer information
What is a weekend therapy clinical reviewer?
A Weekend Therapy Clinical Reviewer is a licensed mental health professional who evaluates clinical documentation and treatment plans over weekends to ensure patients are receiving appropriate care. They review cases for medical necessity, compliance, and adherence to established guidelines, often for insurance companies or healthcare organizations. Their assessments help determine if continued therapy services are justified, supporting quality care while managing costs.
What are the key skills and qualifications needed to thrive as a weekend therapy clinical reviewer?
To thrive as a Weekend Therapy Clinical Reviewer, you typically need a valid clinical license (such as RN, LCSW, LPC, or LMFT), strong clinical assessment abilities, and a solid understanding of behavioral health guidelines. Familiarity with utilization review software, electronic medical records (EMRs), and knowledge of insurance authorization processes are essential. Excellent communication, attention to detail, and sound judgment are crucial soft skills for effectively reviewing cases and collaborating with providers. These competencies ensure accurate, timely clinical reviews that support patient care and compliance with regulatory standards, especially during off-peak hours.
What are some common challenges faced by weekend therapy clinical reviewers and how can they be managed?
Weekend Therapy Clinical Reviewers often navigate fast-paced decision-making, especially when handling urgent cases or high volumes of clinical documentation within tight deadlines. Balancing thorough case review with efficient turnaround is key, as is maintaining clear communication with therapy providers who may also work non-traditional hours. To manage these challenges, reviewers can stay organized with structured workflows, utilize digital tools for documentation, and proactively clarify questions with supervisors or team members. Being adaptable and staying current with clinical guidelines also supports accuracy and confidence in recommendations.
What is the difference between Weekend Therapy Clinical Reviewer vs Weekend Therapy Case Manager?
| Aspect | Weekend Therapy Clinical Reviewer | Weekend Therapy Case Manager |
|---|---|---|
| Credentials | Licensed therapist or clinician, often with clinical certifications | Licensed social worker or counselor, with case management certification |
| Work Environment | Reviewing clinical documentation, assessing treatment plans | Coordinating patient care, managing cases, communicating with providers |
| Employer & Industry | Healthcare providers, mental health clinics, insurance companies | Healthcare organizations, mental health agencies, insurance companies |
The Weekend Therapy Clinical Reviewer primarily evaluates clinical documentation and treatment plans, focusing on quality and compliance. In contrast, the Weekend Therapy Case Manager manages patient cases, coordinates care, and ensures service delivery. Both roles require relevant licensure and work within healthcare or mental health settings, but their core responsibilities differ significantly.
More about Weekend Therapy Clinical Reviewer jobs
What cities are hiring for Weekend Therapy Clinical Reviewer jobs?
Cities with the most Weekend Therapy Clinical Reviewer job openings:
What are the most commonly searched types of Therapy Clinical Reviewer jobs?
The most popular types of Therapy Clinical Reviewer jobs are:
What states have the most Weekend Therapy Clinical Reviewer jobs?
States with the most job openings for Weekend Therapy Clinical Reviewer jobs include:
What are popular job titles related to Weekend Therapy Clinical Reviewer jobs?
For Weekend Therapy Clinical Reviewer jobs, the most frequently searched job titles are:
Clinical Reviewer
On-site
Medata Inc.
• Software Development • 51 - 200 employees51 - 200 employees
$80K - $90K/yr
Other
Posted 8 days ago
Job description
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.
Clinical Reviewer- PTFull Time Regular Professional US
3 days ago Requisition ID: 2806
Salary Range: $80,000.00 To $90,000.00 Annually
Job SummaryPT, DPT, MPT licensure required for Consideration
A Clinical Reviewer is responsible for reviewing medical records, patient information, and treatment plans to ensure compliance with clinical guidelines and standards. They also provide tele-services, such as physical therapy consultation calls, to patients remotely. This role requires strong clinical knowledge, excellent communication skills, and the ability to make informed decisions regarding patient care.
Primary Duties & Responsibilities- Clinical Review
- Initiates review for requested service upon system referral (or referral from non-clinical staff)
- Review types include Utilization Review and Continued Authorization (provide documented recommendations to adjusters and Nurse Case Managers based on use of appropriate guidelines.)
- Reviews each case, and formulates recommendations through use of established medical criteria and clinical judgment and communicates case recommendations and potential appeal options as appropriate.
- Reviews initial evaluation and all clinical documentation against APTA standards, applicable state regulations and relevant treatment guidelines.
- If necessary, contacts the treating practitioner for additional information or clarification.
- If necessary, consults with the Medical / Clinical Director or other licensed health professional in the same licensure category or with the same clinical education as the ordering provider.
- As identified, conducts ongoing review(s) of active cases regarding the need for continued services or treatment
- Submits supportive research relevant to peer review and best evidence practice patterns.
- Documents all pertinent clinical patient / case file information and actions into case notes.
- Appropriately refers cases for review by a physician, chiropractor, or other peer reviewer as required, providing case documentation and clinical recommendations.
- Serves as a clinical resource and provides oversight of non-clinical personnel and identifies training needs and communicates to the appropriate supervisor / manager.
- Complies with all established policies and procedures
- Attends meetings and trainings.
- Meets quality management standards.
- Performs activities within the scope of professional licensure.
- Completes other duties and projects as assigned.
- Initiates review for requested service upon system referral (or referral from non-clinical staff)
- Tele- services
- Applies MedRisk's consultation program inclusion guidelines to assigned cases to determine eligibility and appropriateness.
- Document telerehabilitation consultation in a manner consistent with company policies and department procedures.
- Perform telephonic outreach to patient, in-clinic provider, payor and physician when needed, or as requested.
- Document all communications with case stakeholders (adjusters, case managers, in-clinic providers.)
- Must be an appropriate health professional and possess an active professional relevant license (PT, MPT, DPT)
- Professional experience in providing direct patient care, strong outpatient and/or worker's compensation experience preferred (8 + years)
- Experience with FCEs preferred but not required
- Experience in utilization review, case management, quality improvement and/or managed care is desired
- Excellent verbal and written communication skills
- Organizational skills, prioritization, problem-solving and decision-making skills are required
- Ability to multi-task in a fast paced environment
- Must be computer literate and be able to use the keyboard accurately. Experience with Microsoft Office and review applications is desired
- Strong analytical and interpersonal skills are also required
About Medata
Sourced by ZipRecruiter
Industry
Software development
Company size
51 - 200 Employees
Headquarters location
Irvine, CA, US
Year founded
1975