Clinical Review Therapist, OT, PT, SLP

Centene Corporation

Clinical Review Therapist conducting reviews of therapy services and durable medical equipment for 28 million members. Collaborating to improve therapy services and providing clinical expertise.

Posted 4/15/2026full-timeRemote • Texas • 🇺🇸 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 to members based on service request assessments
Provides clinical expertise based on practice standards
Works with senior management to improve the review and execution of therapy services
Performs utilization reviews of service requests regarding specialty therapy services and/or durable medical equipment
Provides recommendations for therapy determinations and refers members to care management
Collaborates with Utilization and Care Management teams and healthcare providers
Expands therapy specialty knowledge and identifies areas of improvement for members
Assists with providing education including developing clinical trainings, consultations, and guidance related to therapy authorizations and/or durable medical equipment
Provides feedback to leadership on opportunities to improve therapy services outcomes

Requirements

What you’ll need

Requires a Bachelor's degree
Minimum of 2 – 4 years of related specialty therapy experience (e.g. OT, PT, and SLP)
Master’s degree in area of specialty therapy and 7+ years of experience preferred
Clinical knowledge of clinical therapy services, durable medical equipment, and assisted therapy devices preferred
Experience with Adult and Pediatric Therapy experience preferred
Advanced clinical knowledge and ability to assess member needs in context of treatment and therapy authorizations
Knowledge of therapy regulations and guidelines preferred
Strong attention to detail, organizational and time management skills
Microsoft Office applications (Co-Pilot, Excel, Outlook, Word, OneNote) proficiency required
Comfortable using digital video conferencing platforms (Zoom, MS Teams) is required
Licenses/Certifications: Required OT–Occupational Therapist- Registered required or PT - Physical Therapist required or CCC-SLP - Speech-Language Therapist required and must have an active Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association.

Benefits

Comp & perks

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 therapy servicesdurable medical equipmentutilization reviewstherapy authorizationsadult therapypediatric therapyclinical knowledgeassisted therapy devicestherapy regulationsattention to detail

Soft Skills

organizational skillstime managementcollaborationcommunicationleadershipclinical expertisefeedback provisioneducation development

Certifications

Occupational Therapist RegisteredPhysical TherapistSpeech-Language TherapistCertificate of Clinical Competence