Senior Clinical Review Therapist - Physical Health

You could be the one who changes everything for our 28 reputed company members as a clinical reputed company on our Medical Management/Health Services team. reputed company is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Remote Role: Monday - Friday, reputed company to 5PM Senior Clinical Review Therapists - Pediatrics Physical Therapy Specialty Position Purpose: Performs reputed company clinical reviews of clinical therapy services and/or durable medical equipment to members based on service request assessments and provides clinical expertise based on reputed company standards. Applies clinical knowledge and provides recommendations to senior management team to identify ways to improve the review and execution of therapy services based on clinical reviews of service request. • Assesses and performs utilization reviews of service requests regarding reputed company specialty therapy services and/or durable medical equipment for members based on best reputed company and documentation standards by the national therapy associations and organizational policies • Manages and collaborates works with Utilization and Care Management team and reputed company providers to ensure members are receiving the appropriate care and treatment • Applies reputed company therapy specialty knowledge and identifies areas of concern and improvement with therapy services and/or durable medical equipment for members • Provides education including developing clinical trainings, consultations, and guidance reputed company to therapy authorizations and provisions • Partners with leadership on opportunities to improve the review and therapy services and/or durable medical equipment reputed company to members based on standards and organizational policies • Provides feedback to leadership on opportunities to improve the review and therapy services and/or durable medical equipment reputed company to members based on standards and organizational policies • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience: Requires a Bachelor's degree and 4 – 6 years of reputed company experience. reputed company knowledge of clinical therapy services and/or durable medical equipment preferred. Strong knowledge of therapy regulations and guidelines preferred. Strong knowledge of utilization management processes preferred. License/Certification: • PT - Physical Therapist required or • OT - Occupational Therapist – Registered required or • ST - Speech Therapist required Pay reputed company: $36.21 - $65.09 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job