Physical Therapist

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Facilitate, coordinate, and approve medically necessary reviews in line with established criteria.

• Assess clinical information and apply criteria for medical necessity.

• Provide consultations to ensure the appropriate use of resources and timely, accurate determinations, notifications, and reconsiderations.

• Conduct medical reviews to ascertain medical necessity and the suitable level of care.

• Analyze clinical documentation, diagnoses, and treatment plans to support decisions.

• Perform clinical assessments and offer recommendations to aid in care planning and meet member needs.

• Execute clinical triage.

• Collaborate with both internal and external care teams to formulate and implement care plans.

• Document clinical reviews, rationales, and determinations within required timelines and systems.

⛳️ Requirements

• Master’s degree in Physical Therapy.

• One (1) year of experience in utilization management or utilization review, which includes acute inpatient care, outpatient care, rehabilitation, behavioral health, compliance, or use of evidence-based clinical decision support tools (e.g., MCG, InterQual).

• Fully licensed by the North Carolina Board of Physical Therapy Examiners as a Physical Therapist.

• Must possess a valid driver’s license.

• Must reside in North Carolina.

• Must be willing to travel within the designated catchment area as required.

• Clinical experience in a managed care organization, health plan, or hospital setting is preferred.

• Utilization Management certification or equivalent certification is preferred.

• Resume must include employer name, dates of service, average hours worked per week, and key job duties.

• Resume must detail educational background: degree type, date awarded, institution, and field of study.

• Resume must include licensure/certification information, if applicable.

• All candidates must successfully pass a drug test as a condition of employment.

🏝️ Benefits

• Competitive benefits.

• Work-from-home options available for most positions.

• Flexible work schedules may be available for certain positions with management approval.

• Health Insurance with no premium for employee coverage.

• Flexible Spending Accounts.

• 24 days of Paid Time Off (PTO) plus 12 paid holidays during your first year.

• NC Local Government Retirement Pension (defined-benefit plan).

• 401k with a 5% employer match and immediate vesting.

• Employer eligible for Public Service Loan Forgiveness (PSLF).

• Quarterly stipend for remote work supplies.