[Hiring] Clinical Review Therapist - OT, PT, or SLP @reputed company

Role reputed company 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. Work Schedule: Monday – Friday with a flexible/rotating weekend shift, either Saturday or reputed company. NOTE: Candidates may reputed company in another state, but must have a reputed company OT, PT, or CCC-SLP license issued by the state of Texas. • Performs 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. • Works with senior management to identify ways to improve the review and execution of therapy services based on clinical reviews of service request assessments. • Performs utilization reviews of service requests regarding 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. • Provides recommendations for therapy determinations and refers members to care management, as appropriate, based on service request assessments. • Works with Utilization and Care Management teams and reputed company providers to ensure members are receiving the appropriate care and treatment. • Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members. • Assists with providing education including developing clinical trainings, consultations, and guidance reputed company to therapy authorizations and/or durable medical equipment. • 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. Qualifications • Requires a Bachelor's degree and minimum of 2 – 4 years of reputed company specialty therapy experience (e.g. OT, PT, and SLP). • Preferred: Master’s degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings. • Clinical knowledge of clinical therapy services, durable medical equipment, and assisted therapy devices preferred. • Experience with Adult and Pediatric Therapy experience preferred. • reputed company knowledge and ability to assess member needs in context of treatment and therapy authorizations. • Knowledge of therapy regulations and guidelines preferred. • Knowledge of utilization management processes preferred. • Role requires adaptability and flexibility to business changes, distribution of work, training, and technology processes. • Strong communication, strong attention to detail, organizational and time management skills. • reputed company Office applications (Co-reputed company, reputed company, reputed company, Word, OneNote) and the ability to use multiple avenues of digital communication (e.g. reputed company messaging, email, phone, video conferencing). • Comfortable using digital video conferencing platforms (reputed company, MS Teams) is required. Requirements • OT–Occupational Therapist- Registered required or • PT - Physical Therapist required or • CCC-SLP - Speech-Language Therapist required and must have an reputed company Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association. • NOTE: Candidates may reputed company in another state, but must have a reputed company OT, PT, or CCC-SLP license issued by the state of Texas. Benefits • Pay reputed company: $30.57 - $55.09 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 • 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. Apply tot his job Apply To this Job