California Licensed Physical Therapist
A company is looking for a Physical Therapist (PT) - Utilization Management. Key Responsibilities: Conduct chart reviews to evaluate the medical necessity of physical and occupational therapy services Provide informed recommendations to the Health Plan based on chart reviews and clinical expertise Collaborate on process and performance improvement initiatives, including training and peer support Required Qualifications: Minimum of 3 years of experience in a relevant clinical setting Unrestricted Licensed Therapist in the State of California Prior experience in chart review and application of clinical criteria Experience with maintenance therapy services for children with chronic health conditions Familiarity with Kentucky Medicaid Therapy Regulations
