Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Senior Clinical Review Therapist – Physical Health
Location
Missouri
Posted
30 days ago
Salary
$36 - $65 / hour
Seniority
Senior
Bachelor Degree4 yrs expEnglish
Job Description
• Performs complex clinical reviews of clinical therapy services and/or durable medical equipment
• Applies clinical knowledge and provides recommendations to senior management team
• Assesses and performs utilization reviews of service requests
• Manages and collaborates with Utilization and Care Management team
• Applies advanced clinical therapy specialty knowledge
• Provides education related to therapy authorizations and provisions
• Partners with leadership on opportunities to improve outcomes
• Provides feedback to leadership on opportunities for improvement
Job Requirements
- Requires a Bachelor's degree
- 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
- PT - Physical Therapist required or OT - Occupational Therapist – Registered required or ST - Speech Therapist required
Benefits
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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