Utilization Specialty Therapist, OT, PT, SLP
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $34 - $61 per hour
About the role
- Perform utilization review of authorization requests regarding specialty therapy services for members, including speech language, occupational, and physical therapy across the identified regions and products
- Assist with training and network management support for therapy providers
- Perform detailed review of therapy service requests based on evidenced based practice, documentation standards as indicated by the national therapy associations, and organizational policies
- Refer members to case management as appropriate based on service request assessment
- Provide clinical recommendations for any adverse therapy determination
- Provide clinical expertise based on shared practice standards regarding sub-specialty therapy practice to peers
- Provide support for specialty therapy providers, including assistance with clinical trainings, consultation and guidance on matters related to therapy authorization and provision
- Provide clinical expertise to multi-functional areas within organization to support provider relations and operations
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- Must be fully licensed Occupational Therapist, Physical Therapist, or Speech-Language Therapist for the state of TEXAS
- Must reside in the state of Texas
- Master’s degree in area of specialty therapy and 3+ years of experience providing therapy services in healthcare or home health settings
- Adult and/or Pediatric clinical experience
- Current state license in Physical Therapy, Occupational Therapy or Speech-Language Therapy
- Speech-Language Therapist must have an active Certificate of Clinical Competence (CCC-SLP) from the American Speech-Language-Hearing Association
- 6+ years of experience providing therapy services in healthcare or home health settings preferred
- Advanced clinical knowledge and ability to assess member needs in context of treatment plans and goals
- Strong communication, strong attention to detail, organizational and time management skills
- Microsoft Office applications (Excel, Outlook, Word, OneNote) and the ability to use multiple avenues of digital communication (e.g. instant messaging, email, phone, video conferencing)
- Comfortable using digital video conferencing platforms (Zoom, MS Teams) is required.
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Occupational TherapyPhysical TherapySpeech-Language TherapyClinical AssessmentEvidenced Based PracticeDocumentation StandardsTreatment PlansClinical RecommendationsTherapy Service RequestsSub-specialty Therapy Practice
Soft Skills
CommunicationAttention to DetailOrganizational SkillsTime ManagementClinical ExpertiseTrainingConsultationGuidanceSupportCollaboration
Certifications
Licensed Occupational TherapistLicensed Physical TherapistLicensed Speech-Language TherapistCertificate of Clinical Competence (CCC-SLP)