Senior Clinical Review Therapist – Physical Health

Role Overview

• Performs complex clinical reviews of clinical therapy services and/or durable medical equipment
• Applies clinical knowledge and provides recommendations to senior management team
• Assesses and performs utilization reviews of service requests
• Manages and collaborates with Utilization and Care Management team
• Applies advanced clinical therapy specialty knowledge
• Provides education related to therapy authorizations and provisions
• Partners with leadership on opportunities to improve outcomes
• Provides feedback to leadership on opportunities for improvement

Requirements

• Requires a Bachelor's degree
• 4 – 6 years of related experience
• Advanced clinical knowledge of clinical therapy services and/or durable medical equipment preferred
• Strong knowledge of therapy regulations and guidelines preferred
• Strong knowledge of utilization management processes preferred
• PT
• Physical Therapist required or OT
• Occupational Therapist – Registered required or ST
• Speech Therapist required

Benefits

• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules