California Licensed Physical Therapist

Job Summary

A company is looking for a Physical Therapist (PT) - Utilization Management.

Key Responsibilities:

• Conduct chart reviews to evaluate the medical necessity of physical and occupational therapy services
• Provide informed recommendations to the Health Plan based on chart reviews and clinical expertise
• Collaborate on process and performance improvement initiatives, including training and peer support

Required Qualifications:

• Minimum of 3 years of experience in a relevant clinical setting
• Unrestricted Licensed Therapist in the State of California
• Prior experience in chart review and application of clinical criteria
• Experience with maintenance therapy services for children with chronic health conditions
• Familiarity with Kentucky Medicaid Therapy Regulations