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Work From Home Physical Therapy Utilization Review Jobs

Franciscan Health

Utilization Review Coordinator

Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...

Umpqua Health

Utilization Review Clinician

... physical healthcare services. * Advocate for members by promoting access to timely, effective care ... Support transitions from inpatient, residential, acute care, and Oregon State Hospital settings to ...

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Dane Street

PRN Utilization Review Nurse Reviewer

WORKING CONDITIONS/PHYSICAL DEMANDS: Any lifting, bending, traveling, etc. required to do the job ... WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining ...

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Work From Home Physical Therapy Utilization Review information

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$15

$31

$53

How much do work from home physical therapy utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for work from home physical therapy utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is a work from home physical therapy utilization review specialist?

A Work From Home Physical Therapy Utilization Review specialist is a licensed physical therapist or healthcare professional who evaluates medical records and treatment plans remotely to determine if physical therapy services are medically necessary and meet established guidelines. They review documentation submitted by providers, assess the appropriateness of care, and ensure compliance with insurance policies and regulations. This role typically involves collaborating with healthcare providers, insurance companies, and sometimes patients, all while working from a home office.

What are the key skills and qualifications needed to thrive as a work from home physical therapy utilization review specialist, and why are they important?

To excel in Work From Home Physical Therapy Utilization Review, you need a current physical therapy license, strong clinical evaluation skills, and experience in case management or utilization review. Familiarity with electronic medical record (EMR) systems, insurance guidelines, and utilization management software such as InterQual or Milliman is typically required. Exceptional attention to detail, critical thinking, and clear written and verbal communication skills set top performers apart. These skills ensure accurate, efficient review of treatment plans, compliance with payer policies, and optimal patient care outcomes in a remote environment.

What is the difference between Work From Home Physical Therapy Utilization Review vs Work From Home Physical Therapist?

AspectWork From Home Physical Therapy Utilization ReviewWork From Home Physical Therapist
CredentialsLicensing, certification in utilization reviewLicensing, Doctor of Physical Therapy (DPT)
Work EnvironmentRemote, administrative settingRemote or clinical, patient care focus
Employer & Industry UsageInsurance companies, healthcare organizationsHospitals, outpatient clinics, private practices
Job FocusReviewing medical necessity, authorizationsProviding direct patient care, therapy sessions

Work From Home Physical Therapy Utilization Review primarily involves reviewing cases for medical necessity and authorizations remotely, requiring certification in utilization review. In contrast, Work From Home Physical Therapists focus on delivering direct patient care, often with a DPT license, and may work remotely or in clinical settings. Both roles are essential in healthcare but differ significantly in responsibilities and credentials.

What are some common challenges faced in a work from home physical therapy utilization review role, and how can they be managed?

One common challenge in this role is maintaining effective communication with clinical teams and providers while working remotely, as much of the collaboration happens via phone or secure messaging rather than face-to-face. Managing a high volume of case reviews while ensuring accuracy and adherence to clinical guidelines can also be demanding. To address these challenges, it's important to establish clear communication routines, leverage secure digital collaboration tools, and stay organized with robust case management systems. Regular virtual meetings and ongoing professional development can also help keep you connected and up-to-date with best practices.
More about Work From Home Physical Therapy Utilization Review jobs
What cities are hiring for Work From Home Physical Therapy Utilization Review jobs? Cities with the most Work From Home Physical Therapy Utilization Review job openings:
What states have the most Work From Home Physical Therapy Utilization Review jobs? States with the most job openings for Work From Home Physical Therapy Utilization Review jobs include:
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Work From Home Physical Therapy Utilization Review jobs near you
Infographic showing various Work From Home Physical Therapy Utilization Review job openings in the United States as of August 2026, with employment types broken down into 79% Full Time, 13% Part Time, and 8% Contract. Highlights an 8% In-person, and 92% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Coordinator

Franciscan Health

Remote

Full-time

Re-posted 14 days ago

Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

Work From Home
Work From Home Work From Home, Indiana 46544
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
  • Schedule: Monday - Friday, 8am - 4:30pm EST
  • Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes.
  • Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay.
  • Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients.
  • Provide Physician, Patient, Family, Staff and Student education.
  • Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues.
  • Perform admission necessity screening using criteria as established by the various federal, state and private sector programs.

QUALIFICATIONS
  • Associate degree in nursing/patient care required
  • Bachelor's Degree in nursing/patient care preferred
  • Registered Nurse (RN - Indiana licensure) required
  • 3 years of nursing/patient care experience required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Utilization Review Coordinator $56971.20-$84749.60
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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