Physical Therapist Utilization Management - Remote

Overview

The Managed Care Organization is seeking a qualified Physical Therapist (PT) to join our Utilization Management Team. This position will primarily involve conducting chart reviews to determine the medical necessity of physical and occupational therapy authorization requests. Additionally, the role includes process and performance improvement consulting, encompassing training, auditing, calibration sessions, and peer-to-peer support/coaching.

In Short

• Conduct chart reviews to evaluate medical necessity of therapy services.
• Provide recommendations based on clinical expertise.
• Collaborate in process and performance improvement initiatives.
• Work with a team of nurses and medical directors.
• Must be licensed in California.
• Minimum of 3 years of relevant clinical experience required.
• Familiarity with California Medicaid Therapy Regulations is preferred.
• Part-time position, working no more than 4 hours per day.
• Typical schedule varies based on review volume.
• Pay rate is up to $72 per hour.

Requirements

• Minimum of 3 years in a relevant clinical setting.
• Unrestricted Licensed Therapist in the State of California.

Benefits

• Flexible working hours.
• Opportunity to work remotely.
• Collaborative team environment.
• Engagement in process improvement initiatives.