Physical therapy utilization review jobs

The utilization management field allows you to leverage your education, experience, and licensure as a rehab professional—without dealing with the physical and emotional burdens of direct patient care.

Join the CMG community and let us help you manage your travel nursing, travel allied, Locum Tenens, and permanent placement opportunities. Sign up and be the first to find the latest and greatest healthcare positions across the country. Have a specific location in mind? We have travel nursing, travel allied, Locum Tenens, and permanent healthcare career opportunities in all 50 states. Search our healthcare job database to find the position you are looking for.

Physical therapy utilization review jobs

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What type of person would do well in a utilization review job? In order to remain HIPPA compliant, you must have a dedicated work space and oftentimes, it is a requirement to keep all patient information under lock and key within your house.

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Join the CMG community and let us help you manage your travel nursing, travel allied, Locum Tenens, and permanent placement opportunities. Sign up and be the first to find the latest and greatest healthcare positions across the country. Have a specific location in mind? We have travel nursing, travel allied, Locum Tenens, and permanent healthcare career opportunities in all 50 states. Search our healthcare job database to find the position you are looking for. When I started PT school, I was just like all of my fellow classmates—excited, nervous, and ready to embark on the next adventure in my life. I was also 8 months pregnant with my first baby.

Physical therapy utilization review jobs

The utilization management field allows you to leverage your education, experience, and licensure as a rehab professional—without dealing with the physical and emotional burdens of direct patient care. This post may contain affiliate links or codes. Thank you for your support. Simply put, utilization review is the process of looking carefully at how healthcare benefits are being used. Insurance companies use utilization review in order to confirm that the therapy services being delivered are actually covered by the healthcare plan, and also to ensure that patients receive the services they are owed as plan members. The primary goal of someone working in utilization management is to help manage the care the health plan member meaning the patient gets through their benefits, so that patient can return to his or her normal daily tasks. A utilization reviewer ensures that patients receive appropriate care—but not excessive or inappropriate care that exceeds their benefit healthcare plan.

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But there are a few things to keep in mind. Thanks again! Any ideas? I will say that I once asked a similar question in an interview for another job, and I think it cost me the role. Signed up for the prep course and passed the CFE in a small section on health care fraud, covering aberrant billing, unbundling. A utilization reviewer ensures that patients receive appropriate care—but not excessive or inappropriate care that exceeds their benefit healthcare plan. Is there another organization that will certify individuals? This is something I think I might be interested. In general, utilization management is the umbrella term that comprises case review, appeals, denials, and tiering. For example, could I work on the cases throughout the day without working 8 consecutive hours? However, one clinical reviewer I spoke with reported that her schedule required her to be available for 8 hours between 8 am and 8 pm. Seems to happen with all roles, but UR is in that spot where they have more demand than there is supply right now. Phone:

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While most companies prefer to hire therapists not assistants , there are a few utilization review companies out there that do hire assistants into UR roles. All they require is a Bachelor degree we all have that in 10 folds. Take this quick quiz to learn more about which PT setting is right for you:. Hours are moderately flexible My initial line of thinking was that I could spend a lot of time after my husband got home from work or early in the morning reading over notes, then block out a few hours to just spend on phone calls. Every company has different systems, but most do require that you work in an 8-hour shift for the role. Looking for Work? Any thoughts or resources on CEUs to support these careers? Thanks for the kind words on the article. However, one clinical reviewer I spoke with reported that her schedule required her to be available for 8 hours between 8 am and 8 pm. Hi Aileen! Some companies operate as third-party managers, and other payers perform their own utilization management in-house.