Physical Therapy Utilization Management Reviewer

A Physical Therapy Utilization Management Reviewer evaluates the appropriateness and medical necessity of outpatient rehabilitation services to ensure alignment with clinical guidelines and company policies. The role involves conducting pre-certification, concurrent, and retrospective reviews, interacting with healthcare providers, and applying insurance benefits to promote efficient care. This position requires a Doctor of Physical Therapy degree or equivalent licensure and typically involves working independently while collaborating with a multidisciplinary team.