Therapist Reviewer in Fort Wayne providing support in musculoskeletal health and physical therapy. Focused on comprehensive employee health through preventative care and consultations.
Responsibilities
Applies professional therapy, government regulation, and medical policy knowledge to medical review
makes determinations for authorization requests, meeting all contract requirements, processes and operational unit goals to ensure customer satisfaction
Documents findings, develops analyses, and submits reports to the appropriate departments in accordance with government regulations and requirements
Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary
Acts as a resource for internal and external customers
May participate in intradepartmental teams, projects, and initiatives
Maintains quality and productivity standards and ensures reviews are conducted within required timeframes
Requirements
Requires graduate of a college level program in physical therapy or an accredited two year program for a Physical Therapist Assistant
minimum of 1 year of clinical experience
Current active unrestricted license or certification as a physical therapist assistant in applicable state required
Certification and/or licensure appropriate to field of specialty as required
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