Clinical Review Therapist – Physical Health
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $31 - $55 per hour
About the role
- 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
- 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
- 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
clinical reviewsutilization reviewstherapy servicesdurable medical equipmenttherapy specialty knowledgeclinical trainingsconsultationsguidance
Soft Skills
communicationleadershipcollaborationfeedback provisioneducation
Certifications
PT - Physical TherapistOT - Occupational Therapist - RegisteredST - Speech Therapist