Utilization Specialty Therapist - 210914

A-Line Staffing is now hiring a Clinical Review Therapist (Occupational Therapist or Physical Therapist) in Texas (Remote to TX residents only). The Clinical Review Therapist (Occupational Therapist or Physical Therapist) would be working for a Major Fortune 500 Company and has career growth potential. Highlights: Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. Location: 100% Remote – Texas residents only. Position: Utilization Specialty Therapist (OT or PT). Pay Rate: $30-35 hourly. Responsibilities Review prior authorization therapy requests for home health and outpatient agencies and determine whether requests meet company therapy policy criteria. Review clinical documentation submitted by providers and enter reviews for various phases of prior authorization, including approvals, denials, partial approvals, and requests for additional information. Manage approximately 15–40 prior authorizations per day while prioritizing workload and meeting turnaround time requirements. Assign and receive tasks to manage authorizations and cases throughout the review process. Communicate with servicing providers, administrative staff, and therapists (OT/PT/SLP) to help resolve prior authorization requests. Make up to 15 phone calls per day as needed to resolve authorization requests. Manage emails, Teams messages, assigned tasks, and personal work queues to ensure timely completion of reviews. Utilize Microsoft Office applications, including Teams, Outlook, Excel, and OneNote, along with TruCare Cloud. Work collaboratively with a fully remote team consisting of intake staff, RNs, therapists, and non-clinical support personnel. Maintain consistent online engagement through Microsoft Teams to stay connected with colleagues, processes, and daily business needs. Qualifications Master's Degree required. Active Texas license as a Physical Therapist (PT) or Occupational Therapist (OT). Minimum of 3 years of experience as a licensed therapist. Pediatric therapy review experience preferred; adult therapy experience will also be considered. Microsoft Office experience required, including proficiency with Teams, Outlook, and OneNote. Strong organizational skills and time management abilities. Adaptable, decisive, and a quick learner. Comfortable working with technology and troubleshooting applications. Ability to manage a high-volume workload while maintaining accuracy and meeting deadlines. #J-18808-Ljbffr A-Line Staffing Solutions