Speech Language Pathologist

Position Title: Utilization Specialty Therapist Work Location: Remote- Texas Assignment Duration: 9 Months Work Schedule: M-F 8 AM-5 PM CST Position Summary: The purpose of the Utilization Specialty Therapist is to apply clinical expertise and The Organization therapy policy when reviewing prior authorization requests to ensure services meet established practice standards, policy requirements, and medical necessity criteria, supporting appropriate utilization and quality outcomes for our members. Need: higher volume of requests to review than anticipated. Culture: fast paced, collaborative, purpose driven, remote but stay connected through Teams chats and meetings. Also hiring temporary workers for PT and OT and recently hired temporary workers for Intake and back end staff all due to high volume which is expected to decrease. Key Responsibilities: The Utilization Specialty Therapist reviews and evaluates therapy prior authorization requests in accordance with The Organization therapy policies, established clinical standards, and departmental processes. The role is responsible for managing new and ongoing authorization requests to ensure timely, accurate, and thorough clinical review while prioritizing workload to meet established turnaround times and quality standards. Responsibilities also include monitoring email and Teams for operational updates, escalations, and time-sensitive matters; collaborating with team members and leadership to promote consistency, efficiency, and appropriate utilization of therapy services; and participating in required meetings, corporate training, and performance initiatives. The Utilization Specialty Therapist contributes to positive member outcomes while supporting the organization’s commitment to transforming the health of the community, one person at a time. Performance expectation: maintain turn around time, quality clinical reviews, complete expected number of work items required per day based on business needs. Qualification & Experience: Candidate Requirements Education/Certification Required: Masters Degree active Certificate of Clinical Competence from the American Speech-Language-Hearing Association Preferred: Licensure Required: Current TX Licensed Speech-Language Pathologist Preferred: Years of experience required: 3 years minimum- lean heavy on pediatric reviews but adult exp ok. Microsoft Office experience. Must be comfortable with TEAMS, Outlook and One Note Additional qualities to look for: pediatric outpatient and home health experience- 5+ years experience preferred, TRU Care system Top 3 must-have hard skills stack-ranked by importance 1 Quick learner (work processes, computer applications) 2 Organized 3 For information on benefits, equal opportunity employment, and location-specific applicant notices, click here At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $30.00/hr - $34.00/hr. #J-18808-Ljbffr