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Centene Corporation

Clinical Review Therapist – Physical Health

Centene Corporation

Clinical Review Therapist providing reviews and recommendations for therapy services at Centene. Working with senior management and healthcare providers to improve therapy service execution and outcomes.

Posted 4/15/2026full-timeRemote • New York • 🇺🇸 United StatesJuniorMid-Level💰 $31 - $55 per hourWebsite

About the role

Key responsibilities & impact
  • Performs clinical reviews of clinical therapy services and/or durable medical equipment
  • Works with senior management to identify ways to improve the review and execution of therapy services
  • Performs utilization reviews of service requests
  • Provides recommendations for therapy determinations and refers members to care management
  • Works with Utilization and Care Management teams and healthcare providers
  • Expands therapy specialty knowledge
  • Assists with providing education including developing clinical trainings, consultations, and guidance
  • Provides feedback to leadership on opportunities to improve outcomes to members
  • Performs other duties as assigned

Requirements

What you’ll need
  • Requires a Bachelor's degree
  • 2 – 4 years of related experience
  • Clinical knowledge of clinical therapy services and/or durable medical equipment preferred
  • Knowledge of therapy regulations and guidelines preferred
  • Knowledge of utilization management processes preferred
  • PT - Physical Therapist required or OT - Occupational Therapist – Registered required or ST - Speech Therapist required

Benefits

Comp & perks
  • 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
clinical reviewsutilization reviewstherapy servicesdurable medical equipmenttherapy specialty knowledgeclinical trainingsconsultationsguidance
Soft Skills
communicationleadershipcollaborationfeedback provisioneducation
Certifications
PT - Physical TherapistOT - Occupational Therapist - RegisteredST - Speech Therapist