A company is looking for a Clinical Reviewer, Physical Therapy.
Key Responsibilities
Evaluate cases that do not pass the authorization approval process and promote a supportive team approach
Review charts and analyze clinical record documentation to approve services that meet clinical review criteria
Conduct audits and monitor established quality of care standards within the provider network
Required Qualifications
Current, unrestricted state licensure as a Physical Therapist
Physical therapy degree from an accredited education program and passed the national certification examination
5+ years of clinical experience preferred
No history of disciplinary or legal action by a state medical board
Not under current exclusion or sanction by any state or federal health care program
Licensed Physical • Denver, Colorado, United States