Virginia Licensed Clinical Review Therapist

A company is looking for a Senior Clinical Review Therapist - Physical Health.

Key Responsibilities

Conducts complex clinical reviews of therapy services and durable medical equipment based on service request assessments

Collaborates with Utilization and Care Management teams and healthcare providers to ensure appropriate member care

Develops clinical trainings and provides guidance related to therapy authorizations and provisions

Required Qualifications

Bachelor's degree with 4 - 6 years of related experience

Advanced clinical knowledge of clinical therapy services and / or durable medical equipment preferred

Strong knowledge of therapy regulations and guidelines preferred

Strong knowledge of utilization management processes preferred

Licensure as a Physical Therapist, Occupational Therapist, or Speech Therapist required