Licensed Clinical Review Therapist

Job Summary

A company is looking for a Senior Clinical Review Therapist - Physical Health.

Key Responsibilities

• Performs complex clinical reviews of therapy services and durable medical equipment based on service request assessments
• Collaborates with Utilization and Care Management teams and healthcare providers to ensure appropriate care for members
• Develops clinical trainings and provides education related to therapy authorizations and provisions

Required Qualifications

• Bachelor's degree with 4 - 6 years of related experience
• Licensure as a Physical Therapist, Occupational Therapist, or Speech Therapist required
• Advanced clinical knowledge of therapy services and durable medical equipment preferred
• Strong knowledge of therapy regulations and guidelines preferred
• Understanding of utilization management processes preferred