Licensed Clinical Review Therapist

Job Summary

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

Key Responsibilities

• Conducts complex clinical reviews of therapy services and durable medical equipment based on service request assessments
• Collaborates with Utilization and Care Management teams to ensure appropriate care and treatment for members
• Develops educational materials and provides guidance related to therapy authorizations and provisions

Required Qualifications, Training, and Education

• Bachelor's degree required
• 4 - 6 years of related experience required
• PT (Physical Therapist), OT (Occupational Therapist), or ST (Speech Therapist) license required
• Advanced clinical knowledge of therapy services and durable medical equipment preferred
• Strong knowledge of therapy regulations and utilization management processes preferred