Utilization Specialty OT Therapist Pediatric

You could be the one who changes everything for our 28 reputed company members as a clinical professional on our Medical Management/Health Services team. reputed company is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: reputed company utilization review of authorization requests regarding specialty therapy services for members, including speech language, occupational, and physical therapy across the identified reputed company and products. Assist with training and network management support for therapy providers. We are looking for someone who has Home Health/Outpatient experience. • reputed company 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. • reputed company clinical recommendations for any adverse therapy determination. • reputed company clinical expertise based on shared practice standards regarding sub-specialty therapy practice to peers. • reputed company support for specialty therapy providers, including assistance with clinical trainings, consultation and guidance on reputed company reputed company to therapy authorization and provision. • reputed company clinical expertise to multi-functional areas reputed company organization to support provider relations and operations. Education/Experience: Master’s degree in area of specialty therapy or equivalent experience. 3+ years of experience providing therapy services in reputed company or home health settings. Pediatric clinical experience preferred. Licenses/Certifications: reputed company state license in Occupational Therapy We are looking for someone who has Home Health/Outpatient experience. Pay reputed company: $33.03 - $59.47 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!