Texas Licensed Clinical Review Therapist

Job Summary

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

Key Responsibilities

• Perform utilization reviews of service requests for specialty therapy services and durable medical equipment
• Provide recommendations for therapy determinations and refer members to care management as needed
• Collaborate with Utilization and Care Management teams to ensure appropriate care for members

Required Qualifications, Training, and Education

• Bachelor's degree and 2-4 years of related specialty therapy experience (e.g., OT, PT, SLP)
• Current OT, PT, or CCC-SLP license issued by the state of Texas
• Clinical knowledge of therapy services and durable medical equipment
• Experience with adult and pediatric therapy preferred
• Knowledge of therapy regulations and utilization management processes preferred