Ohio Licensed DME Clinical Advisor

Job Summary

A company is looking for a DME Clinical Advisor to ensure the delivery of medically appropriate durable medical equipment, orthotics, and prosthetics while maintaining cost-effectiveness.

Key Responsibilities

• Perform complex clinical reviews of rehabilitative DME, orthotics, and prosthetics based on established standards and guidelines
• Provide guidance to medical directors on medical necessity determinations and participate in interdisciplinary care management rounds
• Develop and deliver training sessions on DME regulations and collaborate with care management teams to ensure appropriate care

Required Qualifications, Training, and Education

• Bachelor's degree in Occupational Therapy, Physical Therapy, or Speech Therapy required
• A minimum of four years of direct patient care experience focused on rehabilitative DME or a related field
• Utilization management experience is preferred
• Current, unrestricted state license as an Occupational Therapist, Physical Therapist, or Speech Therapist is required
• MCG Certification is required within 6 months of hire