Utilization Specialty Therapist
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
- Assist with training and network management support for therapy providers
- Perform detailed review of therapy service requests based on evidenced based practice
- 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
Requirements
- Master’s degree in area of specialty therapy or equivalent experience
- 3+ years of experience providing therapy services in healthcare or home health settings
- Pediatric clinical experience preferred
- Current state license in Physical Therapy, Occupational Therapy or Speech-Language Therapy
- Speech-Language Therapist must have an active Certificate of Clinical Competence from the American Speech-Language-Hearing Association.
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
utilization reviewtherapy service requests reviewclinical recommendationsevidence-based practicecase managementclinical expertisenetwork management supportclinical training assistance
Soft Skills
communicationtrainingsupportassessment
Certifications
state license in Physical Therapystate license in Occupational Therapystate license in Speech-Language TherapyCertificate of Clinical Competence