Clinical Review Therapist – OT, PT, SLP

This is a fully remote position, open to applicants in Kansas, +3 more states.

📋 Description

• Conducts clinical evaluations of therapy services and/or durable medical equipment for members based on service request assessments, providing clinical expertise in line with practice standards.

• Collaborates with senior management to find opportunities for enhancing the review process and implementation of therapy services based on clinical evaluations of service requests.

• Performs utilization assessments of service requests pertaining to specialty therapy services and/or durable medical equipment for members, adhering to best practices and documentation standards set by national therapy associations and organizational policies.

• Offers recommendations for therapy decisions and refers members to care management as necessary, based on service request evaluations.

• Partners with Utilization and Care Management teams, along with healthcare providers, to ensure members receive appropriate care and treatment.

• Enhances knowledge in therapy specialties and collaborates with senior management to pinpoint areas for improvement in therapy services and/or durable medical equipment for members.

• Aids in educational initiatives by developing clinical training sessions, consultations, and guidance related to therapy authorizations and/or durable medical equipment.

⛳️ Requirements

• A Bachelor's degree is required along with a minimum of 2 – 4 years of relevant specialty therapy experience (e.g., OT, PT, and SLP).

• Preferred Education/Experience: A Master’s degree in the area of specialty therapy and over 5 years of experience providing therapy services in inpatient, outpatient, home health, and/or managed care environments is preferred.

• Clinical understanding of therapy services, durable medical equipment, and assisted therapy devices is preferred.

• Excellent communication skills, strong attention to detail, and effective organizational and time management capabilities are essential.

• Proficiency in Microsoft Office applications (Co-Pilot, Excel, Outlook, Word, OneNote) and the ability to utilize various digital communication methods (e.g., instant messaging, email, phone, video conferencing).

• Familiarity with digital video conferencing platforms (Zoom, MS Teams) is required.

• Licensing as an OT – Occupational Therapist - Registered, PT - Physical Therapist, or CCC-SLP - Speech-Language Therapist is mandatory.

🏝️ Benefits

• Competitive salary

• Health insurance

• 401K and stock purchase options

• Tuition reimbursement

• Paid time off along with holidays

• Flexible work options including remote, hybrid, field, or office schedules