Clinical Review Therapist, OT, PT, SLP

Job Description

The Clinical Review Therapist role involves performing clinical reviews of therapy services and/or durable medical equipment for members. You will provide clinical expertise based on practice standards and collaborate with senior management to improve therapy service execution. Duties include utilization reviews, therapy determination recommendations, and collaboration with healthcare providers. You'll expand therapy knowledge, identify improvement areas, and assist in developing clinical training related to therapy authorizations.

Qualifications

1. Requires a Bachelor's degree 2. Minimum of 2-4 years of related specialty therapy experience (e.g., OT, PT, and SLP) 3. Master’s degree in area of specialty therapy and 7+ years of experience preferred 4. Clinical knowledge of clinical therapy services, durable medical equipment, and assisted therapy devices preferred 5. Experience with Adult and Pediatric Therapy experience preferred 6. Advanced clinical knowledge and ability to assess member needs in context of treatment and therapy authorizations 7. Knowledge of therapy regulations and guidelines preferred 8. Strong attention to detail, organizational and time management skills 9. Microsoft Office applications (Co-Pilot, Excel, Outlook, Word, OneNote) proficiency required 10. Comfortable using digital video conferencing platforms (Zoom, MS Teams) is required 11. Licenses/Certifications: Required OT–Occupational Therapist- Registered required or PT - Physical Therapist required or CCC-SLP - Speech-Language Therapist required and must have an active Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association.

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