Physical Therapist/Occupational Therapist – Therapy Services Reviewer

Job Description: • The Therapy Services Reviewer is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational therapy) were medically necessary and filed appropriately. • Follows the system guidelines that makes decisions on approval for care for a patient. • Processes system generated decisions for authorization requests, meeting all contract requirements, processes, and operational unit goals to ensure customer satisfaction. • Documents findings, develops analyses, and submits reports to the appropriate departments in accordance with government regulations and requirements. • Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. • Acts as a resource for internal and external customers. • May participate in intradepartmental teams, projects, and initiatives. • Maintains quality and productivity standards and ensures reviews are conducted within required timeframes. Requirements: • Requires graduate of a college level program in physical therapy, occupational therapy, or speech language pathology or an accredited two-year program for a Physical Therapist Assistant, Occupational Therapist Assistant, or Speech Language Pathologist Assistant and minimum of 1 year of clinical experience; or any combination of education and experience, which would provide an equivalent background. • Current active unrestricted license or certification as a physical therapist assistant, occupational therapist assistant, or speech language pathologist assistant in applicable state required. • Certification and/or licensure appropriate to field of specialty is required. Benefits: • comprehensive benefits package • incentive and recognition programs • equity stock purchase • 401k contribution Apply tot his job